Manual Ventilador Bear Cub 750

INFANT VENTILATOR
Instruction Manua
P/N 51 - 10697-00 Rev. A

@BearMedical Systems
1 1/99
UserIOwner Responsibility
* This Bear Medical Systems, Inc. (hereafter referred to as Bear) equipment and the authorized
accessories for it are designed to function as specified in the relevant instruction manual only
when operated, maintained, and repaired in accordance with supplied manuals and instructions.
This equipment must be periodically checked, recalibrated, maintained, and components repaired
and replaced when necessary for the equipment to operate reliably. Parts that have failed, in
whole or in part, exhibit excessive wear, are contaminated, or are otherwise at the end of their
useful Me should not be used and should be replaced immediately with parts supplied by Bear or
parts which are othenvise approved by Bear. Equipment not functioning correctly or otherwise in
need of repair or maintenance must not be used until all necessary repairs and/or maintenance
have been completed and a factory authorized service representative has determined that the
equipment is fit and ready for use. This equipment and any of its accessories or component parts
should not be modified.
The owner/user of this equipment shall have sole responsibility and liabihty for any damage or
injury to persons or property (including the equipment itself) resulting from operation not in
accordance with the authorized maintenance instructions, from repair by anyone other than a
factory authorized representative, modification of the equipment or accessories, or from the use of
components or accessories that have been damaged or not authorized for use with this equipment
by the factory.
Warranty
,PThe Bear Cub@7 5 0 ventilator
~ system is warranted to be free from defects in material and work-
manship and to meet the published specifications for ONE (1)year or 8,000 HOURS, WHICHEV-
ER OCCURS FIRST.
The liability of Bear Medical Systems, Inc. under this warranty is limited to replacing, repairing or
issuing credit, at the discretion of Bear Medical Systems, I&, for parts that become defective or
fail to meet published specifications during the warranty period; Bear Medical Systems, Inc. will
not be liable under this warranty unless (A) Bear Medical Svstems, Inc. is promptly notdied in
writing by Buyer upon discovery of defects or failure to meet published specifications; (B) the
defective unit or part is returned to Bear Medical Systems, Inc., transportation charges prepaid bv
Buyer; (C) the defective unit or part is received by Bear Medical Systems, Inc. for adjustment no
later than four (4) weeks following the last day of the warr~antyperiod; and (D) Bear Medical
Systems, Inc.'s examination of such unit or part shall disclose, to its satisfaction, that such defects
or failures have not been caused by misuse, neglect, improper installation, unauthorized repair,
alteration or accident.
Anv authorization of Bear Medical Systems, Inc. for repair or alteration by the Buyer must be in
writing to prevent voiding the warranty. In no event shall Bear Medical Systems, h c . be liable to
the Buyer for loss of profits, loss of use, consequential damage or damages of ,any kind based
upon a claim for breach of warranty, other than the purchase price of any defective product cov-
ered hereunder.
Bear Medical Systems, Inc. warranties as herein and above set forth shall not be enlarged,
diminished or affected by, and no obligation or liability shall arise or grow out of the rendering of
technical advice or service by Bear Medical Systems, Inc. or its agents in connection with the
Buyer's order of the products furnished hereunder. 3
Limitations of Liabilities
This warranty does not cover normal maintenance such as cleaning, adjustment or lubrication
and updating of equipment parts. This warranty shall be void and shall not apply if the equip-
ment is used with accessories or parts not manufactured by Bear Medical Systems, Inc. or autho-
rized for use in writing by Bear Medical Systems, Inc., or i f the equipment is not maintained in
accordance with a prescribed schedule of maintenance.
The warranty stated above shall extend for a period of one (1)year from date of shipment or 8,000
hours of use, whichever occurs first, with the following exceptions:
1. Components for monitoring of physical variables such as temperature, pressure, or
flow are warranted for ninety (90) days from date of receipt.
2. Elastomeric components and other parts or components subject to deterioration, over
which Bear has no control, are warranted for sixty (60) days from date of receipt.
3. Internal and external batteries are warranted for ninety (90) days from date of receipt.
The foregoing is in lieu of any warrantjr, expressed or implied, including, without limitation, any
warranty of merchantability, except as to title, =and can be amended only in writing by a duly
authorized representative of Bear Medical Systems, Inc. T
iii
TABLE OF CONTENTS
INTRODUCTION............................................ 1 - 1
ASSEMBLY ....................................................2- 1
SETUP & CHECKOUT .....................................3-1
OPERATION ..................................................4- 1
PANEL DETAILS & SPECIFICATIONS.................5-1
TROUBLESHOOTING ..................................... 6. 1
CLEANING & MAINTENANCE ........................7-1
THEORY OF OPERATION.............
...
.........8. 1
PARTS & ACCESSORIES .................................9- 1
UPDATES .................................................. .1 0. 1
GLOSSARY ..................................................G- 1
INDEX ........................... .
........................... 1-1
1 . INTRODUCTION
Copyright Notice ...................................................1-2

Trademark Notices .................................................1-2
Overview ................................................................1-2
Product Support ..................................................... 1-3
Warranty ................................................................1-4
Symbols ................................................................- 1-4
Warnings. Cautions & Notes...................................1-4
COPYRIGHT NOTICE
COPYRIGHT NOTICE
California.
INTRODUCT'ION
Copyright @ 1999 Bear Medical Systems, Inc., Palm Springs,
This work is protected under Title 17 of the U.S. Code and is the
sole property of Bear Medical Systems, Inc. No part of this doc-
-
ument may be copied or otherwise reproduced, or stored in any
electronic information retrieval system, except as specifically
permitted under U.S. copyright law, without the prior written
consent of Bear Medical Systems, Inc. For more information,
contact:
Thermo Respiratory Group Thermo Respiratory Group

Bear Medical Systems, Inc. Bear Medical Systems, Inc.
1100 Bird Center Drive Rembrandtllaan l b
Palm Springs, CA 92262-8099 3723 BG Bilthoven
U.S.A. P.O. Box 299
The Netherlands
Phone: (760)778-7200 Phone (31) 30 2289 711
(800) 328-4139
Fax: (760) 778-7274 Fax (31) 30 2286 24-4
TRADEMARK NOTICES BEAR Cub@is a registered trademark of Bear Medical Systems,

Inc. in the U.S. and some other countries. All other brand
names and product names mentioned in this manual are trade-
marks, registered trademarks, or trade names of their respec-
tive holders.
OVERVIEW The Bear Cub 7 5 0 ~ sInfant

~ Ventilator is designed to provide
ventilatory support for the critical ccve management of patients
ranging from the small neonate (500 grams or larger) to the
small pediatric patient (up to 30 kg) with compromised lung
function.
The Bear C L I750m
~ Infant Ventilator offers:
AC Flow Cycled AC
SLMV/IMV Flow Cycled SIMV
CPAP SIMV with Pressure Support Ventilation
Volume Limit* Pressure Support Ventilation
'US. Patent No.5, 510,220

INTRODUCTION PRODUCT SUPPORT
e Bear Medical Systems is committed to product support. The

PRODUCT SUPPORT
Bear territory manager is a valuable resource for clinical as well
as logistical information. For additional support, contact:
Customer Sentice:
HOLWS: 7:00 AM to 3:30 PM (PST)
Monday through Friday
Phone: (760) 778-7200
(800) 328-4139
Fax: (760) 778-7274
Teclznical Service:
Hours: 7:00 AM to 5:00 PM (PST)
Monday through Friday
Phone: (760) 778-7390
Fax: (760) 778-7288
Hours: 24 hours, 7 days a week

Phone: (800) 934-2473
World Headaunrters:
Thermo Respiratory Group
Bear Medical Systems, Inc.
1100 Bird Center Drive
Palm Springs, CA 92262-8099 U.S.A.
Phone: (760) 778-7200
(800) 328-4139
Fax: (760) 778-7274
zuzuzu.tl~evn~oresy
.cow
Bear Medical Systems will make available for purchase, service

manuals which include: circuit diagrams, component parts lists,
descriptions, calibration instructions, or other information
which will assist qualified techrucal personnel to repair parts of
the equipment designated by the manufacturer as repairable.
WARRANTY INTRODUCTION
WARRANTY The warranty for your Bear Cub 7 5 0 Infant ~ ~ ~ Ventilator is pro-
vided at the front of this manual, and is also outlined on a card
attached to the unit at the time of sale. Please fill out this war-
r'mty card and return it. Doing so will ensure that you, as the
owner, will receive the full benefit of the warranty period.
The user and owner are responsible to maintain the Bear Cub
7 5 0 ~ Infant
s~ Ventdator in accordance with it's instruction manu-
al. Refer to Clearring 6Mai~ts1n11ce(section 7 )in this manual.
SYMBOLS The following symbols are referenced on the ventilator and

within this manual:
Alternating Current
Direct Current
Attention, consult ACCOMPANYING DOCUMENTS
Type B equipment
Medical Device Directive Compliant
WARNINGS, It is essential that users become familiar with this entire manual
CAUTIONS and that they devote careful attention to all Warnings and
Cautions before using the Bear Cub 750rw Inf'ant Ventilator on
& NOTES any patient.
WARNING
I identifies conditions or practices that could
result in serious adverse reactions or potential safety hazards.
CA UTIOhl
identifies conditions or practices that could
result in damage to the ventilator or other equipment.
In general, Warnings and Cautions have been inserted within
the manual where they are most meaningful. However, certain
Warnings and Cautions are general to the use of the ventilator
under all circumstances. Accordingly, these advisories are
included in this Irttrodz~ction.
NOTES identify supplemental information to help you better
understand how the ventilator works.
INTRODUCTION WARNINGS
The Bear Cub 7 5 0 ~ slnfant

~ Ventilator is intended for use by a qualified
practitioner under the direction of a qualified physician.
When the ventilator is connected to a patient, it is recommended that a

health care professional be in attendance at all times to react to an alarm or
other indications of a problem.
Always have an alternate means of ventilation available whenever the ven-

tilator is in use.
The operator should not touch the electrical connectors of the ventilator or
accessories, and the patient simultaneously.
Under n o circumstances should the Bear Cub 750rsv Infant Ventilator be

used in the presence of flammable anesthetics due to possible explosion
hazard.
An audible alarm indicates an anomalous condition and should never go

unheeded.
Antistatic or electrically conductive hoses or tubing should not be used

within the patient circuit.
Use only 118" I.D. tubing for the proximal airway pressure sensing line. Do
not place restrictive adapters in-line as malfunction may result. Use of larg-
er I.D. tubing may cause pressure oscillations under some conditions.
If a mechanical or electrical problem is recognized while running the

Circuit Checkout Procedure, or while operating the ventilator, the ventila-
tor must be removed from use and referred to qualified personnel for ser-
vicing. Using an inoperative ventilator may result in patient injury.
It is suggested that oxygen concentration be monitored continuously using

an oxygen monitor that includes both high and low alarms. If a high or low
oxygen percent alarm is activated, an Operational Verification Procedure
(OVP) should be performed on both the ventilator and the external oxygen
monitor. If the ventilator fails the OVP, it should be referred to a Thermo
Respiratory Group service technician.
When a low gas supply alarm occurs, the oxygen concentration to the
patient will be different than that set on the Oz control.
A source gas failure will change the FIOz and may result in patient injury.
Failure to appropriately adjust the Over Pressure Relief Valve for each
individual patient could result in patient injury.
If the Over Pressure Relief Valve is set to a pressure lower than the High
Pressure Limit, the ventilator will not give an audible and visual indication
of a high pressure condition that may cause injury to the patient.
To clear a Failed to Cycle alarm condition once the ventilation malfunction

has been corrected, the ventilator control knob must b e turned to t h e
STANDBY mode prior to the selected mode of operation, with the excep-
tion of a Failed to Cycle condition caused by low gas supply.
Should the ventilator Fail to Cycle due to a loss of battery power, the venti-
lator control knob must be turned to the STANDBY mode prior to the select-
ed mode of operation (once power has been restored to the ventilator).
WARNINGS INTRODUCnON
The Low PEEPICPAP alarm must be set within 10 cmHzO of the PEEP set-
ting, or the Prolonged Inspiratory Pressure alarm will sound a n d t h e
Patient Circuit d m and the inspiratory limb dump solenoid may activate.
If the PEEPICPAP control is incorrectly set, a negative pressure can b e
applied to the patient circuit. It is recommended that the operator always
monitor PEEP levels and adjust appropriately when changing Base Flow.
If the flow sensor is not being used, the Apnea alarm is disabled in CPAP
mode, and spontaneous breath rate will not be monitored.
If the Flow Sensor is not installed, the Apnea alarm will be disabled, and
the Low PEEPICPAP alarm will be the only active disconnect alarm when
the ventilator has been set to the CPAP mode. In addition, spontaneous
breath rate will not be monitored.
When the Flow Sensor is disconnected, or becomes disabled during opera-

tion, breath detection is no longer available.
If the Flow Sensor is disconnected or becomes disabled, the Apnea alarm
becomes inactive in the CPAP mode.
Removal of the Flow Sensor from the circuit during operation will elirni-
nate the flow trigger, flow cycling and Volume Limiting functions. Failure
to detect the absence of the Flow Sensor, andlor respond to the Flow
Sensor disconnection alarm, may cause injury to the patient.
When using highly resistant ( l l m m ) dual heated wire circuits and flows
above 15 Ipm, you must use the Wye flow sensor and set the Low Minute
Volume alarn~appropriately in order to detect an expiratory limb discon-
nect at the exhalation valve.
If the Inspiratory Pressure control is set higher than the pressure reached
at the Volume Limit condition by more than 30%, the volume delivered to
the patient may be significantly greater than the Volume Limit setting.
If the Inspiratory Pressure control is set higher than the pressure reached
at the Volume Limit condition, the High Pressure Limit control should b e
set appropriately to prevent injury to the patient, in the event Volume
Limiting is cancelled due to loss of the flow sensor.
Restriction in the proximal line and/or proximal filter will cause the deliv-
ered pressure to be less than the monitored values.
Never attempt disassembly of the exhalation valve control chamber assem-
bly, as the control diaphragm may be damaged. Any time the control pin
assembly is removed for cleaning, an Operational Verification Procedure
(OVP) should be performed in order to verify proper functioning prior to
further usage of the unit.
This equipment has been tested to the European EMC directive; however,
the functioning of this equipment may be adversely affected by the opera-
t i o n of o t h e r e q u i p m e n t n e a r b y , s u c h as h i g h f r e q u e n c y s u r g i c a l
(diathermy) equipment, defribrillators, short-wave therapy equipment,
"walkie talkies," or cellular phones.
Electric shock hazard - Do not remove any of the ventilator covers or pan-
els. Refer all servicing to a Thermo Respiratory Group service technician.
INTRODUCTION WARNINGS
v m l o u d n e s r e seetabve ambient sound in order to b e heard.

The user should never touch the "RS-232Interface" or "Analog Output"
connectors and the patient simultaneously.
Pressure Limit, the ventilator will not give an audible and visual indica-
tion of a high pressure condition that may cause injury to the patient.
Do not place restrictive adapters in-line as malfunction m a y result.
Restriction in the proximal line or proximal filter will cause the delivered
pressure to be less than the monitored values.
Failure to appropriately adjust t h e Over Pressure Relief Valve for each

individual patient could result in patient injury should the internal pres-
sure relief valve fail.
Do not dispose of the internal battery by incineration as it may explode

when exposed to flame.
Do not attempt to charge the internal battery with any other charger than
the one built into the ventilator as it may explode or damage the battery.
If the ventilator is not likely to be used for an extended period of time, the
battery should be removed or discomected.
Use only hydrophobic bacteria filters ( P/N 51000-01122 ) in the proximal

airway line. Non-hydrophobic filters may become occluded with moisture,
causing a ventilator malfunction.
CAUTIONS INTRODUCTION
DO not sterilize the oa~tilator.The i n t e n d conipor~entsare rlot compnfible with ster-

ilizatiorl tecl~iziqires.
For oei~tilaforaccessories idzich require steriliurtioiz, penk sterilization temperature

should not exceed 130' F (54' C) for gas (ETO), aird 270" F (13-7' C)for steam airto-
claac C O ? ~ I ~ O ? I ~ I I ~ S .
To azslrre proper opn'atiorl o f the vnztilator, ally conzporzeizts added to the patieat cir-
cuit shoitld not calrse t/refolloiui?rgprnmeters to exceed these anlucs: Conrpliairce =
(totali, arid Resistnnce = 1 cmH?O at 5 LPM (i~~spirntoq/espiratoq
.5 ~tll/c/c,rlHrO
Ii111b).
All accessory eqitipiient that is coi~nectedto the ventilator shnll cornply with
CSA22.2 NO. 601.1/IEC601-1/LIL2602.
The 0 2 DlSSfittirigol~the Arrsilinv/ Gas SuppI!y is a bladed gas oirtlet. Do not corr-
ncct an Osygerl Gns slrpply to tliisfitti~~g,
as cimrrnge to the uazfilrrtor rmy occur.
E I I S I I tlmt
~ C the itoliage selectiorr and installed fuses on the back ynizel of the BEAR
CUB 7 5 0 ~b!fints ~ Ventilator ore set to nmtch the ooltnge of the a~allouilct, or dam-
age to the Bear Cub 7 5 0 ~lt!fairf
s ~ Ventilntor rtmy resrrlt.
A bnttery that isjirl!y draiized (i.e. aoid ofany cl2nrge.J r ~ r cnrise

q cfntrzageto the ae~t-
tilntor a d shorrli bc rqlnced.
A n y co~tdnzsatein the iontcr trap is a zonnlilzg signal tlmt condensate i m y be m f e r -

iirg the ventilator.
Llse c$ the Arrsilinry Gas Oritlet iuill affect the accwmy of fhe. delivered Base Flow
out o f the "TO PATIENT" port zuhoz totalfloiu (Base Floit)/7nspi~0toryF ~ O Zand L~
Airsilinry Flow) t~.~ctwis25 LPA4. Note tlmt total ao~tilrrtorj7oivcapabilify is 30
LPM.
Nebirlizcr inedicdiorls shorrld not be iised ;ohen the Floio Srmor is attached to the
patiozt circitit.
Coiilpressed air nrirst bc. clentz nird dry to prment air o.y~gnz Mender mlfiiirctiorr, or
da~rageto preurrrntk coiiryoizrr~ts,which irmy cartsc n tinif rilnlfiirrction. Whmmer
wing compressed air, it is recotiriirolded that an air inlet iuater trnp br coirnected to
tlw air inlet port loc~ifedon t h bock
~ pailel ofthe valfilrztor (PIN 50000-01071).
Never atter~lptf 0 ir~sertclenniilg imtrrrrrrents into flozo sensor or to dry the

irlteri~alcovlporze~tsi ~ i t ha high-pressrrre gas source. Doing so :uill dariinge
thr seirsor.
2 . ASSEMBLY
Overview ........................................................ 2-2

Unpacking .................................................... 2-2
Visual Inspection ....................
.....................2-2
Warranty Card ............................................ 2-2
Battery Connection .................................... -2-3
Pole Mount Assembly .................... . ..........-2-3
Air & Oxygen Hoses ........................................2-4
Alarm Loudness Adjustment ....................... ....2-4
Optional Graphics Display .............................2-5
Optional Computer Connection ....................2-5
Optional Analog Connection.........................2-5
OVERVIEW ASSEMBLY
OVERVIEW The BEAR CUB 7 5 0 1Infant

~ Ventilator is shipped almost fully 1
assembled. A few unpacking and assembly steps remain, as
described below.
UNPACKING Before unpacking the BEAR CUB 7 5 0 Infant ~ ~ Ventilator,

inspect the shipping container for any sign of damage.
Remove the ventilator and all accessories from the shipping
containers. Inspect for damage that may have occurred during
shipping.
The BEAR CUB 7 5 0 ~ sInfant
~ Ventilator comes with a Basic
Accessory Kit (P/N 50-01187-00, domestic) which includes the
following:
1. DISS Air Hose ................................................N 50000-01000
2. DISS 0 2 Hose .................................................N 50000-01001
-
3. Air Inlet Water Trap ......................................P / 50000-01071
4. Control Pin Assembly Removal Tool .........P/N 51000-05137
5. Fuse .25arnp, 5x20, slow blow ................... ..P/N 56000-20080
6. Voltage Conversion Instructions.................P/N 50000-10656
7. Iixtruction Manual Kit .................................. P/N 50-10697-00
NOTE
One Flow Sensor (P/N 51000-08833) is included with the
ventilator.
VISUAL INSPECTION Inspect the exterior for any damage which may have occurred
during shipment. In the event that you should find damage,
immediately contact the responsible shipping carrier to make a
claim. Bear Medical Systems will support you with any infor-
mation needed.
WARRANTY CARD Locate the warr~anercard attached to the ventilator. Complete

and return the card to ensure full benefit of the warranty period.
ASSEMBLY BAllERY CONNECTION
BATTERY The BEAR CUB 7 5 0 Infant ~ ~ Ventilator is shipped with the

CONNECTION internal battery disconnected. Instructions to connect the bat-
tery for operation are as follows:
1. Ensure that the ventilator is not connected to any AC power
source.
2. Loosen the two (2) screws holding the battery access door,
and gently allow the door to swing downward.
3. Attach the battery assembly connector to the mating connec-
tor of the wire harness exiting the battery compartment.
4. Close the compartment door and re-tighten the screws.
Battery connection is now complete.
NOTE
Unit can immediately be used on line power; however, if the
unit has been stored, a minimum charge is necessary to perform
circuit checkout procedures. Ensuring that the ventilator
remains plugged into an A/C outlet for four (4) hours will
return the battery to full charge.
The Pole Mount Assembly Kit (P/N 50000-01160) is used to

P POLE MOUNT
mount the BEAR CUB 750rn; Ventilator. General pole mount
ASSEMBLY
attachment instructions are as follows:
1. Install the pole in the base; install torque the mounting nut.
2. Install the pole mount base to the ventilator using the pan
head screws provided.
3. Lock the two (2) locking wheels to prevent the pole from
mo~ing.
4. Place the ventilator on the pole.
5. Secure the ventilator to the pole bv using the thumb screws
provided. Attachment is now complete.
Additional assembly instructions are included within the Pole
Mount Assembly Kit.
The BEAR CUB 7 5 0 ~ Ventilator
s~ may be mounted on a SolidAir
Compressor (P/N 51-09659-01 (120\r/60hz) or 51-09659-02
(230v/50Hz)). The following mounting kits are required:
1.Compressor mount for use without hurnid~..er(P/N 50000-01163)
2. Compressor mount for use with humidifier (P/N 50000-01174)
AIR & OXYGEN HOSES ASSEMBLY
AIR & OXYGEN Air and Oxygen hoses are provided in the basic accessory kit. 1
HOSES Attach the DISS oxygen hose to the oxygen inlet fitting located
on the back panel of the ventilator.
Attach the air inlet water trap to the back panel of the ventila-
tor. Connect the DISS air hose directly to the air Inlet water trap.
Tighten both air and oxygen hoses securely to prevent leakage.
Corirprcssed air ttzrist .be cleat1 arid d r y to prmort an oxygen ldnrrlcr riralfurrctiorl, or
darrriige to prrercrrrntic corirpo~lcrrts,i ~ l t i ~nmy
l i cause n unit rrm!filrlctiorl. W h c r ~ m e r
rrsirrx compressed nir, it is recoriirrrerdaf tlmt all air inlet icmtPr trap be cormccted to
t l v air irrlet port located on tlre l m k pniicl of tht7 i~etrtilator(P/N 50000-01071).
-
ALARM LOUDNESS The alarm loudness on the BEAR CUB 7 5 0 ~ sInfant
~ Ventilator is
ADJUSTMENT adjustable from 60 to 75 dB(A).
The loudness level can be adjusted by following these steps:
a
ALARM LOUDNESS
1. Start with the ventilator in the STANDBY position, turn ven-
tilator control knob to any mode, and wait for the power-up
diagnostics to be completed.
2. Locate the ALARM LOUDNESS knob in the upper center of
the back panel of the ventilator.
3. Initiate an audible alarm by pressing and holding the TEST
key on the front panel, located in the "monitors group."
4. Adjust alarm to desired level by turning clockwise to increase
loudness, and counterclockwise to decrease. Release TEST
key.
[ WARNING I
Alarn~loudness must be set above ambient sound in order to be heard.
ASSEMBLY OPTIONAL GRAPHICS DISPLAY
-I
OPTIONAL GRAPHICS A Ventilator Graphcs Monitor (VGM) is available as an upgrade
DISPLAY option for the BEAR CUB 7 5 0 Infant ~ ~ Ventilator. For & t a b
tion instructions, please refer to the BEAR@Ventilator Graphics
Monitor Instruction Manual (P/N 50-10641-00).
OPTIONAL COMPUTER A computer may be attached to the ventilator. Ji-t the absence of
CONNECTION a Ventilator Graphics Monitor (VGM), the computer should be
attached directly to the RS-232 connector located on the back
panel of the ventilator. Subsequently, the appropriate baud rate
for communication with the computer should be set on the ven-
tilator.
If a VGM has been installed on the BEAR CUB 7 5 0 Infant ~ ~
Ventilator, the computer should be attached to the "Digital Out"
connector located on the rear of the VGM itself. Subsequently,
the appropriate output baud rate should be selected by way of
the graphics display menus.
OPTIONAL ANALOG Three analog signals are available on the BEAR CUB 7 5 0 ~ s ~
CONNECTION Infant Ventilator: pressure, flow and breath phase. Use the 15-
pin connector located on the back panel of the ventilator to
obtain these voltage signals. Refer to Panel Details G.
Sy ecificn tioils (Section 5) for information regarding the voltage
range and scale for each of these signals.
WARNING
The user should never touch the "RS-232 Interface" or "Analog Output" con-
nectors and the patient simultaneously.
3 . SETUP & CHECKOUT
Overview ..........................................................3-2
Setting up the Back Panel of the Ventilator ........3-2
Setting up the Front Panel of the Ventilator ........3-2
Exhalation Valve ...............................................

3-2
Flow Sensor ......................................................3-2

Patient Circuit ...................................................3-3
Over Pressure Relief Valve ................................3-4
Patient Circuit Diagram ................................. 3-5
Circuit Checkout ........................... .

............3-6
OVERVIEW SETUP & CHECKOUT
OVERVIEW "Setup" and "checkout" procedures are described here.
SETTING UP THE To set up your BEAR CUB 7 5 0 Infant

~ Ventilator for use on a
BACK PANEL OF patient, perform the following steps:
THE VENTILATOR 1.Attach the air and oxygen hoses to the respective wall (or
other gas source) fittings. Source gas must be supplied at 30-
80 psig with a minimum flow rate of 50 LPM.
2. Inspect the air inlet water trap located on the back panel of
the ventilator. No condensate should be in this trap.
Corldrrzsatr 111 the zuatrr trap iuanis thaf cotldetmfe nmu be e t z t m n ~the oentrlntor If
the corrzyressed azr etlterrtlg the oentilator rs not clem and dry, i~oztrlntorrrrnlfirtzcfron
rimy resrdt Therefore, h e c k the nrr rrdet iunter trap perrodrcnlly
-
3. Select the Apnea alarm i n t e n d that is appropriate for your
institution, using the four (4) position switch located on the
back panel.
4. Plug the ventilator and humidifier power cords into a prop-
erly grounded electrical outlet.
SETTING UP THE To prepare the front of the ventilator for use on a patient, you
FRONT PANEL OF will need to:
THE VENTILATOR Attach the exhalation valve
Install the flow sensor
Attach a patient circuit
These procedures are described in the following paragraphs.
EXHALATION VALVE Install the exhalation valve diaplvagm convex side down (i.e.
button side up) into the exhalation valve marufold. Next, install
the exhalation valve manifold onto the base and secure in place
with the knurled nuts. Installation is no117 complete.
Exhalation Valve Diaphragm
FLOW SENSOR Install the flow sensor connector into the port labeled "Flow
Sensor" on the lower left front panel of the ventilator. Insert the
large end of the cable into this port with the flat portion of the
connector facing down. The cable has been designed to insert
only one way. The connector "clicks" and locks when properly
installed. The flow sensor end will then be inserted between the
patient wye and endotracheal tube following breathing circuit
assembly.
SETUP & CHECKOUT PATIENT CIRCUIT
NOTE
Both sides of the flow sensor connector must "click" and
lock into the ventilator port or information read by the sen-
sor may not be displayed.
PATIENT CIRCUIT Assembly of the patient breathing circuit is achieved via the
following 7 steps:
1. Cut 18 inches of 3/S" I.D. low compliance tubing, and
attach one end to the ventilator marked "TO PATIENT,"
and the other end to the humidifier Inflow Port.
2. Connect three (3) feet of 3/8" I.D. low compliance tubing
to the Outflow Port of the humidifier.
3. To the open end of the 3/8" I.D. low compliance tubing,
attach a 3/8" O.D. connector.
4. Next, conned a flexible corrugated hose and attach the 4-
way (llmrn O.D. / 15mm I.D. / 3/8" O.D.) endotracheal
connector to the opposite end.
5. Attach an llmm I.D./4mm O.D. endotracheal adapter to
the 4way endotracheal connector. Then cut five (5) feet
of 1/8" h b i n g . Attach one end to the endotracheal
adapter and the other end to the ventilator fitting
marked "PROXIMAL AIRWAY PRESSURE."
Use only 118" I.D. tubing for the proximal airway pressure sensing line. Do
not place restrictive adapters in-line as malfunction may result. Use of larg-
er I.D. tubing may cause pressure oscillations under some conditions.
Use only hydrophobic bacteria filters ( PIN 51000-01122 in the proximal
airway line. Non-hydrophobic filters may become occluded with moisture,
causing a ventilator malfunction.
6. Attach the other flexible corrugated hose to the +way

endotracheal connector, insert the other 3/8" O.D. con-
nector and then connect four (4) feet of 3/8" I.D. low
compliance tubing between the 3/S" O.D. connector and
-
the e,xhalation valve fitting of the ventilator, marked
"FROM PATIENT. "
7. Install flow sensor at patient Mye.
To ~ w s i m
proper operation of the wiltilntor, mi!/ c o ~ ~ i p o r i m adifcd
t ~ to tlic patient cir-
c d slroltld not cnitse tlw f o l l o m b l ~pnrniireters to cscccd tlrcsc* w~lrrcs:Co~tiplinizce=
.5 rrrl/oiiH~Otfotal), a i d Resistarrce = I o i r H d nt 5 LPM (itrs/~irntory/e~'pirntovy
li~rrb).
O V E R PRESSURE RELIEF VALVE
NOTES
SETUP & CHECKOUT
The factory provides a clean ventilator for initial use. Only

clean components should be used when assembling the
patient circuit. If there is any question as to the device's clean-
-
liness, please refer to Clenrzirzg & Mnirztozance (section 7)with-
in this manual.
The Inspiratory and expiratory resistance measured at the patient
connection c l ~ spontaneous
x bl~athingand normal operation
should not exceed 6 c&O (.6kPa) at 30L/M (pediatric) and
5/M (infant) when adding attachments or other components to
the breathmg system.
Lengths of circuit tubing will be different if operator uses
hydrophobic bacteria filters w i t h the patient circuit.
OVER PRESSURE The BEAR CUB 7 5 0 ~ sInfant

~ Ventilator is equipped with a
RELIEF VALVE mechcmical, user adjustable, pressure relieving valve (refer to
Fig. 3-1) located on the back panel of the ventilator. The ventila-
tor leaves the factory with this valve at a setting of approxi-
mately 40 cmH2O.
To adjust the Over Pressure Relief Valve, loosen the loclung ring
then occlude the patient ye and the exhalation line. Rotate the -b
Over Pressure Relief Valve control knob counter clockwise to
decrease (clockwise to increase) untd the peak inspiratory pres-
sure, as shown on the proximal airway pressure gauge, is at the
desired setting. It is recommended that the Over Pressure Relief
Valve be adjusted to a minimum of 15 cmH20 above the High
Pressure Limit alarm setting. Tighten the locking ring.
I WARNING I
individual patient could result in patient injury.
Adjustable locking ring
Figure 3-1
I
Over Pressure Relief Valve
SETUP & CHECKOUT PATIENT CIRCUIT DIAGRAM
to water source
f
Figure 3-2 Patient Circuit

CIRCUIT CHECKOUT SETUP & CHECKOUT
CIRCUIT CHECKOUT Ensure that the internal battery has been connected as T
described in Asseddy (section 2), and that the Over Pressure
Relief Valve has been adjusted as described in Setup & Clreckouf
(section 3) prior to conducting a circuit checkout procedure.
1. Attach an infant test lung (P/N 52000-40027) to the patient
circuit.
2. Rotate the mode selector knob to AC, and set the controls and
alarms as follows:
Flow Cycled AC 7
STANDBY
r
Controls 75OPSV
SIMVIIMV CPAP Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . AC
SIMVIPSV Ventilator Rate . . . . . . . . . . . . . . . . . . . . .30 BPM
Flow Cycled SlMV hpiratory Pressure . . . . . . . . . . . . . . . .40 cmH20
Inspiratory Time . . . . . . . . . . . . . . . . . . .O.8 sec
Inspiratory Flow . . . . . . . . . . . . . . . . . . .15 LPM
Base Flow . . . . . . . . . . . . . . . . . . . . . . . . .3.0 LPM
PEEP/CPAP . . . . . . . . . . . . . . . . . . . . . . . 0 cmH20
Assist Sensitivity. . . . . . . . . . . . . . . . . . . Min.
Volume Limit. . . . . . . . . . . . . . . . . . . . . .300 rnl
Over Pressure Relief Valve. . . . . . . . . . .60 crnH20
Alarms
High Pressure Limit . . . . . . . . . . . . . . ..45 crnH20
Low PEEP/CPAP . . . . . . . . . . . . . . . . . . -3 cmH20
Apnea . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 sec
LOWMinute Volume. . . . . . . . . . . . . . . . 1 L
After 30 seconds, verify that Peak Inspiratory Pressure display

reads 40 crnH20 * 4 'and Mean Ainvay Pressure display reads
18.0 cmH20 a 3.
3. Press and hold the TEST button. Observe that all of the dis-
plays illuminate =and audible alarm sounds. Upon release
of the TEST button, the hour meter will be displayed for
approximately 4 seconds.
The ventilator display panel will return to normal operation fol-
lowing test sequence.
4. Disconnect the test lung from the patient circuit and verify
that audible and visual notifications for LOW INSP. PRES-
SURE and the Low Minute Volume Alarm are activated, after
one minute. An "LP" should be displaved in the High
Pressure Limit Window. Reconnect test lung and allow audi-
ble alarm to self cancel. Depress VISUAL RESET to clear LED
alarm indicator.
SETUP & CHECKOUT CIRCUIT CHECKOUT
Rotate VENTILATOR RATE knob to 1 and verify that the

apnea alarm activates at the time interval previously set.
Rotate the ventilator rate back to 30 to cancel the audible
alarm, then press VISUAL RESET to clear LED alarm indica-
tor.
Occlude the expiratory limb of the breathing circuit and veri-
fv the following:
High Pressure Limit alarm activates (flashing display) and
audible alarm sounds.
Patient Circuit alarm activates. Internal dump solenoid
opens and relieves pressure to less than 5 crnH20.
Press reset to clear alarms and ventilator wlll resume cycling.
Remove occlusion and audible alarm should silence, but visual
alarm indicators will remain. Press VISUAL RESET to clear
LED alarm indicators.
7. Disconnect the proximal pressure line from the patient con-
nector. Note the pressure on the manometer and verify the
pressure is zero and that the Low Pressure alarm activates.
Reconnect the proximal pressure line. Disconnect the proxi-
mal pressure line from the ventilator output. Verify that the
pressure is zero and that the Patient Circuit, High Pressure
and Low Pressure Alarms activate. Reconnect the proximal
line to the ventilator.
8. Disconnect the ventilator power cord from the wall and veri-
fy that the BATTERY LED remains green, the LINE POWER
LED turns red (within 10 seconds), and the ventilator contin-
ues to operate.
An audible alarm will sound to notify the operator that the ven-
tilator is on battery power. This alarm can be silenced once the
operator is aware of battery use by pressing VISUAL RESET
twice. The internal battery has a capacity to power the ventila-
tor for approximately 30 minutes when at 100% charge.
Plug the ventilator back into the wall. The LINE POWER LED
indicator will turn green.
NOTE
With approximately 5 minutes of available battery power
remaining, a non-silenceable alarm will activate.
CIRCUIT CHECKOUT SETUP & CHECKOUT
9. To venfy that the audible/visual alarms for low gas supply, T

momentarily shut off or disconnect the air and oxygen gas
sources.
10. Disconnect both the air and oxygen supply simultaneously.
The low gas supply and fail to cycle alarm should activate
and the audible portion should silence when source pressure
is reconnected. Press VISUAL RESET to clear LED alarm h d i -
cators.
WARNING
A source gas failure will change the FI02 and may result in patient injury.
11. The checkout is now complete.
( WARNING I
- - - -- - - -
If a mechanical or electrical problem i s recognized while running the

Circuit Checkout Procedure, or while operating the ventilator, the ventila-
tor must be removed from use and referred to qualified personnel for ser-
vicing. Using an inoperative ventilator may result i n patient injury.
4 . OPERATION
Overview .......................... .
,.................................4.2
.
General Setup ............................................................. 4.2

AC Fundamentals ........................................................ 4.2
Flow Cycled AC Fundamentals ...................................4.3
AC and Flow Cycled AC Setup ....................................4-4
SIMVIIMV Fundamentals...............................................4-7
Flow Cycled SlMV Fundamentals.................................4.8
SIMVIPSV Fundamentals ...............................................4-9
SIMVIIMV, Flow Cycled SIMV, SIMV/PSV Setup .............4-10
PSV Fundamentals .....................................................4. 1 1
PSV Setup ................................................................... 4-11
CPAP Fundamentals..................................................-4-12
CPAP Setup ................................................................4. 12
Flow Cycling ..............................................................4. 15
O MRVl EW OPERATION
OVERVIEW The following pages describe the general set up and operation
of the BEAR CUB 7 5 0 Infant
~ Ventilator. This section will also
discuss ventilator operation in various modes:
Flow Cycled AC Flow Cycled SIMV
AC PSV
SIMV/IMV CPAP
SIMV with PSV
GENERAL SETUP 1.Prepare the vendator as described in Setzip mzd Clleckozit

(Section 3).
2. Attach infant test lung (P/N 52000-40027) to the flow sensor
at the patient wye.
3. Attach the air and oxygen hoses to the appropriate gas
sources. Connect the ventilator and humidifier electrical
power cords to properly grounded electrical outlets, and turn
the humidifier po\ver switch to "ON."
I CAUTION I
Coirrpressed air rilrst be cltwir nird dry to ~ ~ r m e ra11
r t 0qge11 blender iim!fr~i~ctioir.
or
dnrr~ngcto ptlcirtrmtic coiiryoirnrts, ;u/rich rimy cause n ltnit iim~firircfiorr.Wlreirezvr
risiirg coiirpress~ilair, it is rccoririrrcirdcd tlmt nil air iillef iuater trap (P/N 50000-
01071)be connected to tlrr air iidrt port 1ocntt.d oil tlze back pairel of thc ventilator.
4. Select the desired humidifier setting. The proximal airway

temperature should be monitored continuously.
NOTE
Refer to the humidifier manufacturer's operator's manual
concerning humidifier settings.
II Under no circumstances should the ventilator be used in the presence of

flammable anesthetics due to possible explosion hazard. I
5. General set up is now complete.
AC Fundamentals A time cycled pressure limited (TCPL)breath is delivered when:

a breath time period elapses, as determined by t h e
VENTILATOR RATE control setting, or
T
when the patient activates the assist trigger.
OPERATION FLOW CYCLED AC
Provided the set ASSIST SENSITIVITY threshold is met, the

patient may trigger every breath if demand exceeds the set
VENTILATOR RATE, resulting in a synchroiuzation of mechani-
cal breaths with patient effort. If the patient does not trigger a
breath before the time period elapses, the ventilator will deliver
a mandatory TCPL breath according to the clinician-selected
INSPIRATORY PRESSURE, VENTILATOR RATE, INSPIRATO-
RY FLOW and INSPIRATORY TIME as illustrated below.
I I
Time - 0 Mandatory TCPL Breath

0
Figure 1 1 AC Pressure Graphic - No Patient Triggering
FLOW CYCLED AC In this mode of ventilation, a pressure limited breath is

r Fundamentals delivered to the patient at the preset INSPIRATORY PRESSURE
and is flow cycled when the inspiratory flow falls to 10% of the
peak inspiratory flow rate, or at the preset INSPIRATORY
TIME, whichever occurs first.
Provided the set ASSIST SENSITIVITY threshold is met, the
patient may trigger every breath if demand exceeds the set
VENTILATOR RATE, resulting in a syndvo~lizationof mecl~~anical
breaths with patient demand. If the patient does not trigger a
breath before the time period elapses, a mandatory breath will be
delivered at the beginning of the next assist window. As with a
synchronized breath, the mandatory breath will be flow cycled
when the inspiratory flow falls to 10% of the peak inspiratory flow
rate, or at the p r e s e < I N ~ ~ I R
TIME,
A ~ whichever
~~~ occurs first.
1Oo0 Flow Teml~nabon
I I
I Time Penod- nrne Penod I
? I Elapsed Elapsed I
(d I
z
a
I
I
Tune - Q? Set -
lnsplratory
Y
0
Y
0
0 Mandalory FCPL Breath
0
Tme
@ Patlent-Tr~ggeredFCPL Breath
Figure 4-2 Flow Cycled AC Graphic

AC FLOW CYCLED AND AC OPERATION
AC and 1. Rotate the mode selector control from the STANDBY position 14
to AC, or Flow Cycled AC.
FLOW CYCLED AC
Setup 2. Adjust the following controls to the appropriate settings, as
directed by physicians order:
Ventilator Rate
Inspiratory Time
Inspiratory Pressure
Flow Cycled AC 7
r STANDBY
Base Flow
SlMVllMV A CPAP
Inspiratorv Flow
PEEP/CPAP
Flow Cycled SIMV Assist Sensitivity
Volume Limit
02%
NOTES
A SETTINGS INCOMPATIBLE alarm indicates one of the
following four (4) conditions:
(a) Operator has attempted to set an Inspiratory Time that is
inappropriate for the Ventilator Rate selected (flashing
Inspiratory Time and Ventilator Rate displays).
T
During tlus condition, the set Inspiratory Time will not be
delivered. Ventilator Rate wdl be maintained.
(b)Operator has attempted to set a Base Flow that is more
than 2 times the Set Inspiratory Flow (flashing Base Flow
and Inspiratory Flow displays).
During this condition, the flow control solenoid will not
cycle and Base Flow will be delivered continually.
(c) Operator has attempted to set a Volume Limit that is
incompatible with the Flow or Pressure settings of the
ventilator. If the Inspiratory Flow setting is too high, the
Volume Limit LED digits will flash, alternating with
"E.K." If the Inspiratory Pressure setting is too high, the
Volume Limit LED digits ~ 7 i l lflash, alternating with
"E.PL."
OPERATION AC FLOW CYCLED AC
(d)Operator has attempted to set a PEEP/CPAP level that is

higher than the Inspiratory Pressure level, or has attempt-
ed to set an h p i r a t o r y Pressure level that is lower than
the PEEP/CPAP level. This ~ 7 i l result l in a Pressure
Settings Incompatible alarm.
During this condition, the exhalation pressure control
solenoid wdl not cycle and the set PEEP/CPAP level will
be delivered conti~ously.
3. Adjust the Over Pressure Relief Valve on the back panel of
the ventilator. It is recommended that the Over Pressure
Relief Valve be adjusted to a minimum of 15 cmH20 above
the High Pressure Limit alarm setting. To adjust the Over
Pressure Relief Valve, loosen the locking ring, remove the test
lung and occlude the patient wye and the exhalation line.
Rotate the Over Pressure Relief Valve control knob counter-
clockwise to decrease (clockwise to increase) until the peak
inspiratory pressure, as shown on the proximal airway
pressure gauge, is at the desired setting but not less than 15
cmH20 above where the High Pressure Limit alarm and the
INSPIRATORY PRESSURE control will be set. Tighten the
locking ring. Reattach test lung.
[ WARNING I
4. Set the INSPIRATORY PRESSURE control to the desired peak

pressure.
5. Set the HIGH PRESSURE LIMIT alarm to the desired level
above peak inspiratory pressure shown on the manometer. A
maximum margin of 10 crnHzO is recommended.
6. Set the Lou7 PEEP/CPAP alarm to the appropriate setting
below the PEEP/CPAP level.
7. The LOW INSPIRATORY PRESSURE alarm is automatically
set by the ventilator accordingly to the following formula:
LOWins pi rat^^ Pressure = 0.25 X (High Pressure Limit - Low PEEP/CPAP)
+ Low PEEP/CPAP
xvhere LOWPEEP/CPAP = 0 if setting is 5 0.
AC FLOW CYCLED AND AC
cmH20.
NOTES
Minimum threshold for the Low Inspiratory Pressure Alarm is 5
If High Pressure Limit is set at an excessively high level, a Low

OPERATION
-
Pressure (LP) alarm may flash in the High Pressure Limit
window during normal operation.
The Low PEEPICPAP alarm must be set within 10 cmH2O of the PEEP
setting, or the Prolonged inspiratory Pressure alarm will sound and the
Patient Circuit Alarm and inspiratory limb dump solenoid may activate.
NOTE
To verifv the Low PEEP/CPAP and Low Inspiratory Pressure
alarms, bpen the proximal airway connection by disconnecting
the test lung, and verify that the audible and visual alarms
activate. Reconnect the test lung and verify the audible alarm
silences. Press VISUAL RESET to clear the LED alarm indicators.
8. Set the High Breath Rate alarm to the appropriate setting
above the monitored breath rate.
9. The ventilator is now ready to connect to the patient.
OPERATION SIMV/IMV FUNDAMENTALS
SIMVIIMV In this mode, both time cycled pressure limited (TCPL) and
Fundamentals spontaneous breaths can occur. Between TCPL breaths, sponta-
neous breaths may occur. Blended gas for these spontaneous
breaths is supplied by the base flow setting, which is capable of
providing up to 30 LPM of flow.
The concept of an "assist windo~r"is venr useful when describing
the fundamentals of SIMV operation.
When a TCPL breath is due (as determined by the VENTILATOR RATE
control), the assist window opens and waits for the patient's
inspiratory effort. Upon sensing the patient's inspiratory effort, the
ventilator delivers the preset INSPIRATORY PRESSURE for the
preset INSPIRATORY TIME. As soon as the single TCPL breath has
been triggered, the assist window closes.
As a consequence, once the TCPL breath has been delivered,
subsequent patient effort results only in spontaneous breaths until
the next assist window is opened.
If the patient has a period of apnea, and the assist window does not
see an inspiratory effort on the part of the patient, a mandatory
breath will be delivered at the beginning of the next breath time
i n t e n d . Mandatov breaths will continue according to the respira-
tory rate set on tl;e VENTILATOR RATE control until the next
inspiratory effort from the patient is sensed.
NOTES
The BEAR CUB 7 5 0 1Ventilator
~ will operate in the IMV mode
when the flow sensor is absent or disabled, and the control knob
is turned to the SIMV/IMV position.
In this mode of ventilation, mandatory, time cycled, pressure
limited breaths are delivered by the ventilator at regular
intervals as determined by the VENTILATOR RATE control and
are not synchronized with patient effort. Blended gas for sponta-
neous breaths that occur between the mandatory breaths is
supplied by the BASE FLOW.
Assist W m d a Open
a Mandatory TCPL Breath
@ Patlent-TnggeredTCPL Breath
@ Spontaneous Breaths
Figure 4 3 SIMV/IMV Pressure Graphic

FLOW CYCLED SlMV FUNDAMENTALS
Flow Cycled SIMV

Fundamentals
In this mode of ventilation, a pressure limited breath is delivered
to the patient at the preset INSPIRATORY PRESSURE and is
flow cycled when the inspiratory flow falls to 10% of the peak
inspiratory flow rate, or at the preset INSPIRATORY TIME,
OPERATION
-
whichever occurs first. Frequency of mandatory breaths is
determined bv the ventilator rate control. ~ l e i d e dgas for
spontaneous breaths that occur between the mandatory breaths
i5 supplied by the base flow
When a mandatory breath is due the assist window opens and
waits for the patient's inspiratory effort. Upon sensing the
patient's effort, the ventilator delivers a pressure limited breath
at the preset INSPIRATORY PRESSURE, which is flow cycled
when the inspiratory flow falls to 10% of the peak inspiratory
flow rate, or at the preset INSPIRATORY TIME, whichever
occurs first. Once the mandatory breath has been delivered the
assist window closes until the next mandatory breath is due.
If the patient becomes apneic and the ventilator does not
recognize an inspiratory effort by the patient, a mandatory
breath will be delivered at the beginning of the next assist
window. AS with a synchronized breath, the mandatory breath
,-
will be flow cycled when the inspiratory flow falls to 10% of the
peak impiratory flow rate, or at the preset INSPIRATORY TIME,
wl-~icheveroccurs first. Mandatory breaths will continue accord-
ing to the respiratory rate set on the VENTILATOR RATE
control until the next patient effort is recognized.
10%
-2sec-
I
I
-2sec - I
I
-2sec-
I
-2sec-
I
-2sec - I
1 I I
Time O I\ssist Window Open

@ Mandatory FCPL Breath
@ Patient-TriggeredFCPL Breath
@ Spontaneous Breaths
Figure 4-4 Flow Cycled SIMV Pressure Graphic
OPERATION SIMVIPSV FUNDAMENTALS
In this mode of ventilation, a mandatory pressure limited breath

Fundamentals is delivered to the patient at the preset INSPIRATORY
PRESSURE and time cycled at the preset INSPIRATORY TIME.
Frequency of the mandatory breaths is determined by the
ventilator rate control. Spontaneous inspiratory efforts,
recognized by the ventilator, between the mandatory breaths
will be supported bv the ventilator.
When a mandatory breath is due, the assist window opens and
waits for the patient's inspiratory effort. Upon sensing the
patient's effort, the ventilator delivers a mandatory breath at the
preset INSPIRATORY PRESSURE, which is time cycled at the
preset INSPIRATORY TIME. Any spontaneous inspiratory
efforts recognized bv the ventilator between the mandatory
breaths will be suppoked by the ventilator to preset INSPIRA-
TORY PRESSURE and flow cycled when the inspiratory flow
falls to 10% of the peak inspiratory flow rate, or at the preset
INSPIRATORY TIME, wluchever occurs first.
If the patient becomes apneic cmd the assist window does not
recognize an inspiratory effort by the patient a mandatory
breath will be delivered at the beginning of the next mandatory
assist window. The mandatory breath will be pressure limited
at the preset INSPIRATORY PRESSURE and time cycled at the
preset INSPIRATORY TIME. Mandatory breaths will continue
according to the respiratory rate set on the VENTILATOR RATE
control until the next patient effort is recognized.
SlMV FLOW CYCLED SlMV SIMVIPSV FUNDAMENTALS OPERATION
NOTE
Peak inspiratory pressures during both mandatory and
pressure support breaths are the same.
:-
Breath Interval
(as set by vendlator
P.S. Bream P.S. Breath P S . ,re[" rate control)
I
I I
time- I I
I I I
I I
I
Flow
I
a MandatoryTCPL Breath
lnspmto9 Cycled at @ Pahent-TriggeredTCPL Breath
Em 10.0 @ Palien! Triggered PS Breath
Figure 4-5 SIMVlPSV Pressure Graphic
SIMVIIMV
FLOW CYCLED SIMV,
1. Rotate the mode selector control from the STANDBY posi-
and SIMVIPSV tion to SIMV/IMV, Flow Cycled SIMV or SIMV/PSV.
Set
[ WARNING 1
Flow Cycled AC 7 Removal of the flow sensor from the circuit during operation will disable
c STANDBY the flow trigger, flow cycling and volume limiting functions. Failure to
SIMVIIMV CPAP respond to the flow sensor disconnection alarm may cause injury to the
infant if not corrected.
F h CVded SlMV
2. Complete steps 2-9 as outlined in AC Setup page 4-4.
-
Flow Cycled AC 7
SlMVnhN - "STANDBY
CPAP
F h Cyded SIMV
OPERATION PSV FUNDAMENTALS
PSV In this mode of ventilation, all spontaneous inspiratory efforts

Fundamentals recognized by the ventilator will be supported to the preset
INSPIRATORY PRESSURE and flow cycled when the inspiratory
flow falls to lo0/' of the peak inspiratory flow rate, or at the
preset INSPlRATORY TIME, whichever comes first. There is no
mandatory breath rate.
If the patient becomes apneic, following an apnea time-out the
ventilator will deliver a backup mandatonr breath at the preset
INSPIRATORY TIME and INSPIRATORY PRESSURE. If no
spontaneous or mcmdatory breaths occur during a subsequent
time-out period, based on the breath interval set.by the
VENTILATOR RATE or 10 seconds, whichever is less, a n
additional mandatory breath will be delivered. This sequence
will repeat until a spontaneous effort is recognized. An apnea
alarm will be reported throughout tlus sequence.
Flow Termination
Time - 0 Spontaneous PS Breath

Figure 4-5 Pressure Support Ventilation Graphic
PSV 1. Rotate the mode selector control from the STANDBY position
Setup to PSV.
NOTE
In the event that the flow sensor is disconnected or malfunc-
tions, the ventilator shall revert to CPAP. During this time the
-
Flow Cyded AC 7
r STANDBY ventilator will demonstrate a non-cancelable flow sensor alarm.
SlMVnMV CPAP This condition will continue until the flow sensor is replaced, or
the mode switch is turned to a mode that does not rely on flow
Flow Cycled SlMV for breath termination.
2. Complete steps 2 - 9 as outlined in AC Setup Section 4-4 .
CPAP FUNDAMENTALS OPERATION
In CPAP, the patient breathes spontaneously, and all breaths are T

CPAP
Fundamentals counted by the BREATH RATE monitor when patient effort
meets or exceeds the ASSIST SENSlTIVlTY threshold (provided
flow sensor is installed). In addition, a constant airway pressure
is maintained throughout the breath cycle, as determined by the
clinician-selected PEEP level.
If the patient becomes apneic, following an apnea time-out the
ventilator will deliver a backup mcmdatory breath at the preset
INSPIRATORY TIME and INSPIRATORY PRESSURE. If no
spontaneous or mandatory breaths occur during a subsequent
time-out period, based on the breath interval set by the
VENTILATOR RATE or 10 seconds, whichever is less, a n
additional mandatory breath ~7illbe delivered. This sequence
will repeat until a spontaneous effort is recognized. An apnea
alarm will be reported tluoughout this sequence.
CPAP The same controls available in AC or SIMV/IMV are also

Setup available in CPAP; however, many of them are not used by the
ventilator in CPAP unless a Manual Breath is delivered by the
operator or Apnea backup is activated.
-
Flow Cycled A C 7
c STANDBY
1. Rotate the mode selector control from the STANDBY
SlMVnMV CPAP position to CPAP.
\
Flow Cycled SlMV
WARNING
If the flow sensor is not being used, the Apnea dam1 is disabled in CPAP
mode, and spontaneous breath rate will not be monitored.
2. Adjust the following controls to the appropriate settings:

Base Flow
PEEP/CPAP
02O/o
Additionally, other controls should be set and are only active

when the manual breath button is pushed or Apnea is activated:
Inspiratory Time
Inspiratol+ Pressure
ins pi rat or^ Flow
Volume ~ i m i(active
t only if flow sensor is installed)
NOTE
Inspiratorv Time, Inspiratory Pressure, Inspiratory Flow and
Ventilator kate should be set appropriate to the patient receiving
.-
CPAP, as the ventilator will cycle at these settings during apnea
backup ventilation.
OPERATION CPAP SETUP
Additionally, other controls should be set and are only active

when the manual breath button is pushed:
3. Adjust the Over Pressure Relief Valve on the back panel of
the ventilator. It is recommended that the Over Pressure
Relief Valve be adjusted to a minimum of 15 cmH2O above
the High Pressure Limit alarm setting. To adjust the Over
Pressure Relief Valve, loosen the locking ring, remove the test
lung and occlude the patient wye and the exhalation line.
Rotate the Over Pressure Relief Valve control knob counter-
clockwise to decrease (clockwise to increase) until the peak
inspiratory pressure, as shown on the proximal airway
crnH?O above where the High Pressure Limit alarm and the
INSPIRATORY PRESSURE control will be set. Tighten the
locking ring. eat tach test lung.
WARhTING I
4. Set the INSPIRATORY PRESSURE control to the desired peak

pressure.
5. Set the HIGH PRESSURE LIMIT alarm to the desired level
above peak inspiratory pressure shown on the manometer. A
maximum margin of 10 c-0 is recommended.
6. Set the Low PEEP/CPAP alarm to the appropriate setting
below the PEEP/CPAP level.
7. The LOW INSPIRATORY PRESSURE alarm is automatically

set bv the ventilator according to the following formula:
Low Inspiratory Pressure = 0.25 X V g h Pressure Limit - Loxv PEEP/CPAP)
+ Low PEEP/CPAP,
where Lei\. PEEP/CPAP = 0 if setting is I 0.
CPAP SETUP
NOTES
Minimum threshold for the Low Inspiratory Pressure Alarm is
OPERATION
-
5 cmH.0.
If High Pressure Limit is set at an excessively high level, a Low
Pressure (LP) alarm may flash in the High Pressure Limit
window during normal operation.
If the Flow Sensor is not installed, the Apnea alarn~will be disabled, and
the Low PEEPICPAP alarm will be the only active disconnect alarm when
the ventilator has been set to the CPAP mode. In addition, spontaneous
breath rate will not be monitored.
The Low PEEPICPAP alarm must be set within 10 cmH2O of the PEEP setting,
or the Prolonged Inspiratory Pressure alarm will sound and the Patient
Circuit Alarm and the inspiratory limb dump solenoid may activate.
NOTE
To verify the Low PEEP/CPAP alarm, open the proximal ,-
airway connection by disconnecting the proximal tubing and

verify that the audible and visual alarms activate. Reconnect the
proximal tubing and verifv the audible alarm silences. Press
VISUAL RESET to clear the-^^^ alarm indicator.
8. Set the High Breath Rate alarm to the appropriate setting.

9. The ventilator is now ready to connect to the patient.
OPERATlON FLOW CYCLING
FLOW CYCLING Flow Cycled Ventilation provides for total breath synchrony, by
Ventilation allowing the infant to initiate and terminate the breath based on
flow at the proximal airway. In any of the available flow cycled
Principles and modes (Flow Cycled AC, Flow Cycled SIMV, SIMV/PSV, and
Guidelines PSV), a mandatory or patient initiated breath may be terminated
by flow when the flow decreases to 10% of the peak inspiratory
flow. This termination criteria is fixed, not adjustable. In the
event that the peak inspiratory flow is not able to decrease to
lo%, the breath will be terminated by the set inspiratory time,
indicated by a flashing of that display.
I Peak Flow
Cycling
-1 set I.T. &
Figure 4 6 Flow Cycling Criteria
Breaths may not flow cycle in the face of an airway leak or if the
set inspiratory time is reached before the flow cycling criteria is
met. The advantages of flow cycling are improved svnchrony,
appropriate inspiratory times that do not exceed what is
necessary for complete lung inflation, and lower risk of airtrap-
ping, especially at high respiratory rates. Clinical studies have
shown that flow cycling may improve oxygenation, decrease
weaning time, and decrease length of time on mechanical
ventiation.
FLOW CYCLING OPERATION
Row Cycled Breath
Flow Cycled Ventilation on the Bear Cub 750m Infant Ventilator can be easily
understood by this visual tracing. The first four breaths are delivered with a
fixed inspiratory time, without the benefit of flow cycling. The remaining five
breaths are delivered in a Flow Cycled AC Mode. With flow cycling, the
breath ends by a decrease in inspiratory flow at the airway, rather than a
preset inspiratory time. Not that no change in tidal volume is noted, even
though the inspiratory time is less.
5 . PANEL DETAILS & SPECIFICATIONS
Overview ....................
...............................-5-2
Specifications.................................................5-3
Layout ............................................................5-8
Function ........................................................ -5-8
Monitors ...................... .
...
................... ,259
Alarms ..........................................................5-13
Controls ........................................................5-20
LowerIFront Face ..........................................5-27
Back Panel ...................................................5-30
OVERVIEW PANEL DETAILS & SPECIFICATIONS
OVERVIEW The following pages provide an orientation to the front and

back panels on the BEAR CUB 7 5 0 ~ sInfant
~ Ventilator.
Included is a description of:
The specifications for the BEAR CUB 750m Mant Ventilator
ventilator,
How the rotary controls and touch buttons simplify ventila-
tor operation, and
How the front panel is arranged into logical groupings
(Monitors, Alarms and Controls).
In addition to this general orientation, details are provided for:
Each user adjustable control, touch button, and LED indica-
tor, and
All the physical, environmental, pneumatic and electrical
specifications.
PANEL DETAILS & SPECIFICATIONS SPECIFICATIONS
The BEAR CUB 750~s~ Infant Ventilator

Performance Characteristics and Specifications
Controls
Mode......Flo~vCycled AC, AC, SIMV/IMV. SIMV/PSV, Flow Cycled SMV, PSV, CPAP
PEEP.............................................................................................................. 0 to 30 c m W 0
Inspiratory Pressure ................................................................................... 0 to 7 2 ' 2 0
Ventilator Rate ............................................................................................... 1 to 150 BPM
Lnspiratory Time...........................................................................................0.10 to 3.00 sec
Base Row ....................................................................................................1 to 30 LPM
Inspiratory Flow ........................................................................................... 1 to 30 LPM
Assist Sensitivity ...........................................................................................Min to Max
Volume Limit*..........................................................................................5 to 300 ml
Audible Off (Volume Limit)........................................................................LED &/Off
Manual Breath ...............................................................................................x I
Over Pressure Relief ..................................................................................... 15 to 75 cmH2O
0'
jo 0 7 ................................................................................................................ 21 to 100%
Apnea Alarm ................................................................................................. 5, 10, 20, 30 sec
Alarm Loudness ............................................................................................ M i . to Max, 60 to 75 db(A)
Alarms
Low PEEP/CPAP .......................................................................................... -5 to 30 cmH20
High Breath L ~ t ..........................................................................................
e 3 to 235 BPM
Low Minute Volume ................................................................................... Off to 9.9 LPh4
High Pressure Limit ..................................................................................... 10 to 75 cmH2O
Failed to Cycle ......................................................................................... LED &/Off
Loxc Gas Supply ..........................................................................................LED &/Off
Patient Circuit ............................................................................................... LED On/Off
Prolonged Inspiratory Pressure ..................................................................LED %/Off
Apnea ..............................................................................................................LED &/Off
Pressure Settings Incompatible ..................................................................LED &/Off
Flow Sensor ............................................................................................... LED &/Off
Alarm Silence................................................................................................. 0 sec
Visual Reset .................................................................................................. Push Button
Line Power ..................................................................................................... G e e n R e d LED
L a c Battery....................................................................................................LED &/Off
Monitors
Breath Rate ..................................................................................................... 0 to 255 BPM
Breath Type (Patient Initiated)....................................................................LED
Inspiratory Time............................................................................................ 0.00 to 3.10 sec
Expiratory Time ............................................................................................ 0 to 99.9 sec
I:E Ratio .......................................................................................................... 9.9:l to 19.9
Peak Inspiratory Pressure ............................................................................ 0 to 99 cmH7O
Mean Airwav Pressure .................................................................................0 to 75 cmH7O
PEEP ................................................................................................................ 0 to 30 crnH2O
Air Pressure ...................................................................................................0 to 99 psig
0 2 Pressure ....................................................................................................0 to 99 psig
Minute Volume .............................................................................................0 to 30.0 LPM
Tidal Volume (Exhaled) ...............................................................................0 to 500 ml
Tidal Volume (Inspired)...............................................................................0 to 500 ml
SbLeak ......................................................................................................... 0 to 10O0o
Proximal Ainiay Pressure ........................................................................... - 1 to 100 cmHZO
Hourmeter ...................................................................................................... 0 to 99,999 11ours
Test .................................................................................................................. Push Button
Batter)............................................................................................................ LED On/Off
'U.S. Patent No. 5,540,220

SPEClFlCATlONS
Preset Values
The BEAR CUB 750~s~ Infant Ventilator
Minimum Expiratory Time ....................................................150 rniJliseco~lds

Minimum Inspiratory Time....................................................0 seconds
Maximum Inspiratory Time ...................................................3.10 seconds
PANEL DETAILS & SPECIFICATIONS
-
Maximum settable I:E Ratio ...................................................4:1
Tolerances
Monitors:
Breath Rate ................................................................. 2 1 BPM or a 20 msec, whichever is greater
Inspira tory Time........................................................ + 0.02 sec
Expiratory Time ........................................................+ 0.02 sec
I:E Ratio ...................................................................... 0.1 or a 20 msec (on the calculation based on the monitored
inspiratory and ex~iratorytimes), whichever is greater
Airway Pressure (continuous) ...............................+ 1 -0 (-10 to 20 cmH.0)
c 2 &O (20 to 65 crnH2O)
c3d O (65 to 100 cmH2O)
Peak h p i r a t o r y Pressure ........................................ 2 cmH20 or + 5% whichever is greater
Mean Airway Pressure .............................................+ 2 cmKO or + 3'10, whichever is greater
PEEP .........................................................................2 1 c-0 or i 5% \vhiche\,er is greater
Air/Oz Pressure ........................................................+ 5 psig
Minute Volume ......................................................... A c c a c is based on the Tidal Volume and Breath R ~ t monitorse
Inspiratory Tidal Volume ........................................ 2 1mL or c lo%, whichever is greater
Expiratory Tidal Volume .........................................+ 1 mL or c lo%, whichever is greater
% Leak .....................................................................+ 1mL or t 2%, whichever is greater
(when compared to the Inspired and Expired Tidal Volume monitors)
I-Iour Meter ................................................................
AlarndLitnits:
+ 2% of reading *
Low PEEP/CPAP ......................................................+ 2 &O
High Breath Rate .......................................................+ 1 BPM
Low Minute Volume ................................................+ 10 mL/rnin (0 to 99 mL/nlin)
* 0.1 L/rnin (0.1 to 9.9 L/min)
High Pressure Limit.................................................c 4 -0
Prolonged Inspiraton Pressure ..............................+ 2 cmKO
Volume Limit...........................................................c 2 mL or r 10Y0of setting, whichever is greater
Apnea ..........................................................................
c 1sec
Maximum (Popoff) Pressure ..................................f 4 cmH2O
Controls:
Ventilator Rate .........................................................2 1 BPM or i 20 msec (applied to the breath interval), whichever is greater
Inspiratory Time........................................................+ 0.020 sec (0.10 to 0.50 sec)
2 0.025 sec (0.50 to 3.00 sec)
Assist Sensitivity .......................................................Not a calibrated scale
PEEP/CPAP and Inspiratory Pressure
(Repeatability) .......................................................+ 1 cmHzO or + 590, whichever is greater (breath to breath)
Base/lnspiratory Flow ............................................. + 0.5 LPbI or c 10?,0of setting, whichever is greater (0 to 60 cmHi-0)
2 1LPM or +lo/-15% of setting, whchever is greater (60 to 72 &O)
Oxygen 9b ...................................................................3%
Emissions/Suscevtibilitv
The ventilator has been tested to conform to the following specifications: MIL-STD-461D:1993, MIL-STD-462D:1993,
EN55011:1991, IEC 1000-42199.1, IEC 1000-4-3:1994, IEC 1000-44199.1, IEC 1000-4-5:1994,QUASI-STATIC1993
This \*entilator is designed and manufactured to comply with the safety requirements of IEC 601-1, IEC 601-2-12, T
CAN/CSA-C22.2 NO. 601.1-M90, and UL 2601-1.
The BEAR CUB 7 5 0 Infant

~ Ventilator
Outputs
Digital ........................................................................................
2 3 2 Bi-Directional
Analog: (see page 5-29)
Proximal Pressure.............................................................0 to 100 c m m 0 , 1cmH20/25 ml-
Proximal Inspiratory/Expiratory Flow ............................4 (expiratory)to 40 (inspiratoqr)LPM, 1 LPM/50 m\.
Machine Delivered Flmv .......................................................... 0 to 30 LPM, 1 LPM/50 mv
Breath Phase .......................................................................1 "Logic" signal; 0, 5V
Remote Nurse Call .................................................................. 0.5 amps max at 24 vdc
Pneumatic:
Auxiliary Blended Gas Outlet ...........................................7 to 17 psig, 0 to 8 LPM
kPa (48 to 117)
Inputs
Electrical:
Supply Ratings
Voltage: lOOV 80 to 110 VAC
120v 95 to 135 VAC
230V 176 to 26-1 VAC
240V 192 to 26-1 VAC
Current: 1OOV 1.0 A maximum

120V 1.0 A maximum
230V 0.5 A maximum
240V 0.5 A maximum
Fuses: 100/ 120V T0.5A,5x20mm

230/240V T 0.25 A, 5 x 20 mm
*' For 220V operation, set the power entry module selector switch to 230V setting.
Pneumatic:
Oxygen and Air ........................................................................30 to 80 p i g , 50 LPM Supply Rntings
SPECIFICATIONS PANEL DETAILS & SPECIFICATIONS

~ Ventilator
Phvsical Dimension and S h i v ~ i Information

n~
Ventilator Weight..................................................................... 30 lbs., 13.6 kg
Graphics Display Weight ........................................................ 5 lbs.
Pedestal Stand Weight ............................................................ 9 lbs.
Compressor Weight ................................................................. 1 lbs.
Ventilator Dimensions ............................................................

3 W x 10" D x 11" H
Graphics Display Dimensions ...............................................1 \Y x 2.5" D x 9.5" H
Pedestal Stand Dimensions .................................................... 4 x 40.5"H
Compressor Dimensions........................................................2 x 21.5"D x 36" H
Shivvinn Weight Included

Ventilator ..................................................................................
40 lbs., 18.2 kg
Graphics Display ......................................................................11 lbs.
Pedestal Stand ......................................................................... 12 lbs.
Compressor ............................................................................ 1 2 lbs.
Shivvina- Dimensions
Ventilator ..................................................................................
1 W x 18" D x 19" H
Graphics Display ...................................................................... 1 W x 13" D x 11" H
Pedestal Stand ..........................................................................2 W x 5" D x 45" H
Compressor ...............................................................................2 W x 22" D x 40" H
Environmental S~ecifications
Temperature:
Storage and Slupping .......................................................... -31 to 158' F (4to 70' C)
Checkout and Operating ........................................................ 5 to 104' F (10 to 40° C)
Altitude:
Checkout, Operating ...........................................................0 to 9,000 feet (14.7 to 10.5 PSIA/760 to 543 mm Hg)
Humidi h:
Storage and Shipping..........................................................
0 to 99'30 Relative Humidit). - Non-condensing
Checkout and Operating .....................................................0 to 95% Relative Humidity - Non-condensing

~ Ventilator
Cleaning of External Surfaces

All external suiaces of the ventilator shall be able to be wiped clean with the following compounds:
A. Isopropyl Alcohol
B. Chlorine Compunds
Maximum concentration: 1:10
C . Quaternary Ammonium Compunds
Maximum Concentration 1:500
Sterilization
All parts of the ventilator that can come in contact ~ l t the h patient expiratory gas and all parts of the breathing
circuit external to the ventilator shall be sterilizable or disposable.
Methods of Sterilization
Ethylene oxide, maximum temperature 130" F (54" C )

Steam sterilization, maximum temperature 270" F (132" C)
Liquid Sterilization
1. Cidex
Ivlinimum sterilization cycles before part replacement:

1. Patient Circuit, Exhalation Manifold:
Ethylene Oxide 240 cycles
Steam Sterilization 240 cycles
Liquid Sterilization 240 q-cles
2. Flo~vSensor:
Ethylene Oxide 50 cycles
3. AU other sterilization components:

Ethylene Oxide 120 cycles or 1year
Steam Sterilization 120 cycles or 1year
Liquid Sterilization 120 cycles or 1year
LAYOUT PANEL DETAILS & SPECIFICATIONS
LAYOUT The BEAR CUB 7 5 0 Infant

~ Ventilator front panel is logically ?
divided into three primary sections
Monitors (Yellow LEDs)
Alarms (Red LEDs)
Controls (Green LEDs).
A fourth area on the front of the ventilator, just below the con-
trols section, houses the blender control, patient circuit, flon7
sensor connections, and the exhalation manifold.
FUNCTION The front panel on the BEAR CUB 7 5 0 Infant

~ Ventilator uses
LED displays with a combination of knobs and touch pads for
data entry and/or review.
BREATH RATE
B€RR C U B ' 7 5 0 ~ s v
INFANT VENTILATOR
0 PEIW Iw FREBSURE 0 MINUTE VOLUME
-
0 INjPIRATOfWTlME
o UPIRP.TORY~ME o MEAN NWY PRESSURE o INSP.~WVOCUME
o I:E wno 0PETP o EXPn w V O L U M LEAK
~
NPAZPRESSURE
HWR METER
0 0
LOW PEEPICPAP LOW MINUTEW M E
0
HIGH PRESSURE UMlT ]
0 UNE POWER 0 BATTERY
I
BASE FLOW INSPIFUTORY FLOW MIN- A5SIST SENSITNITY -U*X MANUN BREATH
OXYGEN (b n o w SENSOR PR,EYyURE TO PATIENT FROM PATIENT

PANEL DETAILS & SPECIFICATIONS MONITORS
MONITORS Monitors are located in the upper portion of the front panel.
Multiplexing of information reduces display complexity and
permits the use of larger, easily read LED displays. To select a
monitored parameter, simply press the touch pad until the
small LED is illuminated next to the description for the moni-
tored parameter desired, then read the numerical value in the
display area. Displays are YELLOW LEDs, indicating monitored
data. Some parameters ( 0 2 Pressure, O/! Leak) require a second
depression of the the touch pad in order to display their value.
Analog Manometer
Panel Group: Monitor
Range: -10 to 100 cmH20 (Outer Scale)
-10 to 100 mBAR (Inner Scale)
The analog mcanometer provides a continuous display of the
proximal pressure as measured at the patient wye.
Test
Panel Group: Monitors
Range: &/Off
Once the TEST button is depressed, all audible and visual indica-
tors are illuminated. Upon release of the TEST button, the
Hourmeter will be displayed for approximately four (4) seconds.
NOTE
The ventilator continues to operate during the test sequence.
BREATHRATE Breath Rate

Range: 0 to 255 BPM
Breath Rate displays the total number of breaths detected by the
flow sensor per minute. Breath Rate is updated breath by
breath. If no flowsensor is recognized, the set breath rate will be
displayed.
MONITORS PANEL DETAILS & SPECIFICATIONS
0 PATIENT INITIATED Patient Initiated

Range: LED &/Off
LED illuminates to indicate that the patient exceeded the assist
sensitivity requirement for breath delivery, either triggering a
mechcanicalbreath, or taking a spontaneous breath.
Inspiratory Time
Range: 0.10 to 3.10 seconds
Inspiratorv Time will be displayed for all breath tvpes. 'For
0 INSPIRATORY TlME
0 EXPIRATORY TlME
mechanicai breaths it is the time from initiation of inspiration to
0 I:E RATIO the beginning of exhalation. For spontaneous breaths it is the
duration that flow to the patient is positive after the assist sen-
sitivitv criteria has been satisfied.
Expiratory Time
0 INSPIRATORY TlME
O EXPIRATORY TlME
Expiratorv Time is displayed as the duration of time from the
0 I:E RATIO
initiation of exhalation to the beginning of inspiration for all
mechanical breaths.
NOTE
The Expiratory Time LED will display dashes in SIMV/IMV,
SIMV/PSV, Flow Cvcled SIMV, PSV and CPAP modes.
I:E Ratio
Range: 9.9:l to 1:9.9
0 INSPIRATORY TlME
0 EXPIRATORY TlME
I:E Ratio is displaved as the calculated relationship between
0 I:E RATIO duration of inspikition to the duration of exhalation for all
mechanical breaths.
NOTE
The 1:E Ratio LED will display dashes in SIMV/IMV, SIMV/PSV,
Flow Cvcled SIMV, PSV and CPAP modes.
Peak Inspiratory Pressure

Q PEAK INSP. PRESSURE
0 MEAN AIRWAY PRESSURE
0 PEEP
0 AIW02 PRESSURE
Range: 0 to 99 cmH20
The Peak Inspiratory Pressure display shows the maximum
pressure reached during each mechanical breath, and is updat-
ed breath-bv-breath.
-
PANEL DETAILS & SPECIFICATIONS MONITORS
Mean Airway Pressure

0 PEAK INSP. PRESSURE Range: 0.0 to 75.0 cmH,O
O MEAN AIRWAY PRESSURE The Mean Airwav Pressure display indicates the average of the
0 PEEP pressure measured at the proximal location of the patient cir-
0 AIR102 PRESSURE
cuit. Mean Airway Pressure is updated breath by breath.
PEEP
0PEAK INSP. PRESSURE Range: 0 to 30 cmH.0
0 MEAN AIRWAY PRESSURE
Indicates the PEEP/CPAPmeasured at the proximal location of
PEEP
0 AIR102 PRESSURE
the patient circuit.
Air102 Pressure
0 PEAK INSP. PRESSURE Range: 0 to 99 psig
0 MEAN AIRWAY PRESSURE The Air Pressure displav indicates the air pressure at the inlet
0 PEEP
to the ventilator. Press again to display the 0 2 pressure. The 0 2
C3 AIR102 PRESSURE
Pressure display indicates the oxygen pressure at the inlet to
the ventilator.
Minute Volume
Range: 0 to 30 LPM
CC3 MINUTE VOLUME The Minute Volume monitor displays measured exhaled
0 INSP. TIDAL VOLUME
minute volume for all breath types, spontaneous 'and mechani-
0EXP. TIDAL VOLUME/% LEAK
cal.
NOTE
The Minute Volume LED will display dashes if the flow sensor
is absent or disabled.
Inspiratory Tidal Volume

Range: 0 to 500 ml
0 MINUTE VOLUME
The Inspiratory Tidal Volume monitor displays measured
O INSP. TIDAL VOLUME
0 EXP. TIDAL VOLUMEIX LEAK
inspired tidal volume for all breath types, spontaneous and
mechanical. Inspired volume measured by the flow sensor at
the patient \%yeis updated on a breath-by-breath measurement.
MONITORS
NOTE
PANEL DETAILS & SPECIFICATIONS
The Inspiratory Tidal Volume LED will display dashes if the

-
flow sensor is absent or disabled.
Expired Tidal Volume/% Leak
Expired Tidal Volume will be displayed with a single press.
0 MINUTE VOLUME
Press again to monitor O/O Leak.
0 INSP. TIDAL VOLUhlE
o EXP. TIDAL VOLUME/% LEAK Expired Tidal Volume
Range: 0 to 500ml
The Expired Tidal Volume monitor displays Exhaled Tidal
Volume for all breath types. Expired volume is measured by
the flow sensor at the patient wye and is updated on a breath-
by-breath basis.
-- -
NOTE
--
% Expired Tidal Volume LED will display dashes if the flow

sensor is absent or disabled.
% Leak
Range: 0 to 99%
The % Leak monitor displays the calculated difference between
delivered and exhaled volume, as measured by the flow sensor
at the patient wye, in percentage. Information is on a breath-by-
breath measurement. The display will indicate the letter "L"
followed by the percent leak.
NOTE
The YOLeak LED will display dashes if the flow sensor is absent
or disabled.
Hour Meter
0 INSPIRITORVT~b!E
0PEAK INSP PRESSURL
0 UPIR4iORY TIV: 0!.tIAII A R W A ' PRLSSUR! Range: 0 to 99,999 hours
oI I ~ O o PEEP
HOUR METER 0A.wo2 Passuar The hour meter is displayed for 4 seconds when the Test Button
is pressed and released. The hourmeter displays a running total
of ventilator operation hours using a combination of two LED
-
displays. For example, the graphic pictured indicates that the
ventilator has been used for a total of 220.5 hours.
NOTE
Hours will not accumulate when the ventilator is i n the
STANDBY mode.
PANEL DETAILS & SPECIFICATIONS ALARMS
0
LOW PEEPICPAP
0
HIGH BREAM RATE
0
LOW MINUTE VOLUME
0
HIGH PRESSURE UMIT
I1
AU\RM SILENCE
TO CYCLE SUPPLY CIRCUIT INSP PRESS SElTINGS SENSOR
INCOMPATIBLE
APNEA LOW BAlTERY
ALARMS Alarms are located in the mid portion of the front pcmel. This sec-
tion is made up of adjustable and fixed alarms. Displays are RED
LEDs indicating alarm data.
o Low PEEPICPAP
LOW PEEPICPAP
Panel Group: Alarms
Range: -5 to 30 cIllH20
The Low PEEP/CPAP alarm will activate if the measured proximal
pressure falls below the set value for a minimum of 250 milliseconds.
Restoration of the PEEP/CPAP level will silence the audible alarm,
but the visual will remain to nohfy the cliniciCmthat the alarm set-
ting was violated. Press VISUAL RESET to clear the LED indicator.
WARNING
If the Flow Sensor is not installed, the Apnea alarm will be disabled, and the
Low PEEPICPAP alarm will be the only active disconnect alarm when the venti-
lator has been set to the CPAP mode.
The Low PEEPICPAP alarm must be set within 10 cmHzO of the PEEP setting,
or the Prolonged Inspiratory Pressure alarm will sound and the patient circuit
alarm and the inspiratory limb dump solenoid may activate.
0 High Breath Rate

HlGH BREATH RATE
Panel Group: Alarms
Range: 3 to 255 BPM
The High Breath Rate alarm will activate ~vheneverthe monitored
value for breath rate exceeds the alarm setting. A return of the
breath rate below the alarm setting will silence the audible alarm,
but the visual will remain to notifv the clinician that the alarm was
violated. Press VISUAL RESET to clear the LED indicator.
0 Low Minute Volume

LOW MINUTE VOLUME
Panel Group: Alarms
Range: 0 to 9.9L/min.
The Low Minute Volume alarm will activate when the monitored
minute volume falls below- the set threshold. If a flow sensor f a1'1ure
or disconnect occurs the ventilator shall display "- -". Setting the
Low Minute Volume dCumat zero will disable the alarm.
ALARMS PANEL DETAILS & SPEClFlCATlONS
WARNING I
I When using- highly
- - resistant (11 mm) dual heated wire circuits and flows above 15 1
Iprn, you must use the Wye flow sensor and set the low minute volume alarm appro-
priately in order to detect an expiratory limb disconnect at the exhalation valve.
LOW INSPIRATORY The LOW INSPIRATORY PRESSURE alarm is automatically set by

PRESSURE ALARM the ventilator according to the following formula:
Lolv Inspiratory Pressure = 0.25 X (High Pressure Limit - Low PEEP/CPAP) +
Low PEEP/CPAP,
where Low PEEP/CPAP = 0 if setting I 0
NOTE
Minumum threshold for theLow InspiratoryPrrssm Alarm is5 anH.0.
-
0
High Pressure Limit
HIGH PRESSURE LIMIT
Panel Group: Alarms
Range: 10 to 75 cmH2O
The High Press~reLimit alarm will activate when the proximal pres-
sure exceeds the set threshold. Violation of tlus alarm will cause both
an audible (minirn~mduration 2 seconds) and visual notification to
occur, and will imrnediatelv terminate the breath. Alarm will repeat
if violation again occurs on subsequent breaths. Once corrected the
audible alarm dl automatically silence and the visual indicator will
remain lit to notify the clinician that the alarm was violated. Press
VISUAL RESET to clear the LED indicator.
NOTES
To clear a figh k u r e Limit alarm in CPAP mode, press VISUAL RESET.
If High Presfllre Lirmt is set at an s c ~ ~ ehigh
l ylevel, a L o M r Pressure &l')
,?]arm may flash in theHigh kessure Limit uirdow during normal -tion.
In addition, High Pressure Limit Alarm mav be activated as

described in the following two scenarios.
1) Partially Obstructed Inspiratory or Expiratory Limb.
If the alarm occurs, as a result of the partial obstruction, the inspi-
ration will be terminated and cycle into exl~alation.Though the
breath is terminated, the patient circuit alarm and dump solenoid
will be activated. Breaths will continue to be delivered and 4
alarm activated until the occlusio~~ is removed.
PANEL DETAILS & SPECIFICATIONS AMMS
2) Proximal Pressure Line Disconnect at the Ventilator.

If the alarm occurs as a result of the proxjmal disconnect, the patient
circuit alarm and inspiratory limb dump solenoid will be activated to
dump all circuit pressure. If the pressure is found to be below 5c&O
for 3 seconds continuously, the dump solenoid will close. This
sequence will repeat until the proximal pressure line is reconnected.
Once reconnected the ventilator will resume normal operation.
NOTES
Depressing the Visual Reset switch will close the dump solenoid
immediately.
Patient Circuit Alarm and Dump Valve may not activate if settings
are too low to generate high circuit pressure. In this case Low
Pressure Alarm will be activated and LP will be displayed in the
High Pressure Limit window.
ALARM SILENCE Alarm Silence

Panel Group: Alarms
Range: On/Off
Pressing Alarm Silence cancels the audible portion of an alarm for
60 seconds. All alarms can be silenced except the Failed to Cycle
alarm. A lit LED indicator adjacent to the ALARM SILENCE key
reminds the clinician that alarms have been silenced until:
60 seconds elapse or
the clinician presses ALARM SILENCE again.
NOTE
The Alarm Silence feature can be used to pre-silence alarms for 60
seconds by pressing the key once prior to any alarm generation.
(G) Alarm
Panel Group: Alarms
Range: On/Off
The Alarm Notification LED will illuminate during all alarm con-
ditions to attract the attention of the operator. Once the alann con-
dition has been resolved, the LED will extinguish.
VISUAL RESET Visual Reset
Panel Group: Alarms
Range: On/Off
Pressing Visual Reset causes the ventilator to clear all solidly lit
alarm indicators. Note that flashing alarm indicators cannot be
cleared by Visual Reset since a "flashing indicator" signals that the
underlving alarm condition is still occurring. For momentary
alarm conditions (such as High Pressure Limit), the minimum
alarm time is 2 seconds. These alarms cannot be reset until the 2
seconds has elapsed.
5-15
Al ARMS PANEL DETAILS & SPECIFICATIONS
FAILED Failed to Cycle

TO CYCLE
Panel Group: Alarms
Range: On/Off
The Failed to Cycle alarm will activate if the ventilator detects an inter-
nal or external malfunction. During a Failed to Cycle condition, the
audible alarm cannot be silenced.
WARNING
To clear a Failed to Cycle alarm condition once the ventilation malfunction has been correct-
ed, the mode switch must be turned to the STANDBY mode prior to the selected mode of
operation, with the exception of a Failed to Cycle condition caused by low gas supply.
APNEA Apnea
Panel Group: Alarms
Range: &/Off
The Apnea alarm will adivate if the ventilator detects the lack of breath hi-
tiation in excess of the set period of time. This alarm dl remain active until
breath initiation is detected, at which time the audible will silence, but the
visual indicator will remain lit to no* the clinician that the alarm was vio-
lated. Press VISUAL RESET to clear LED indicator.
If the patient becomes apneic, in PSV or CPAP mode, following an apnea
time-out the ventilator will deliver a backup breath at the preset INSPIRA-
TORY TIME and INSPIRATORY PRESSURE. If no spontaneous effort is
detected during a subsequent time-out period, based on the breath intend
set by the VEhrTILATOR RATE or 10 seconds, whichever is less, an addi-
tional backup breath will be delivered. This sequence will repeat until a
spontaneous effort is recognized. An apnea alarm will be reported through-
out this sequence.Thisrequires a functional flow sensor.
When the Flow Sensor is disconnected, or becomes disabled during operation, breath
detection is no longer available.
If the Flow Sensor is disconnected or becomes disabled, the Apnea alarm becomes
inactive in the CPAP mode.
LOW GAS Low Gas Supply

SUPPLY
Panel Group: Alarms
Range: On / Off
The Low Gas S~lpplyalarm will activate if either gas supply pressure falls
below 24(+ 2) psig. If one gas supply fails, the ventilator continues providing
ventilation using the available gas supply Flow and pressure delivered may
decrease by a maxim~mof 10%. If the supply pressures for both gas sup-
plies fall belou- 24(+2) psig, then a Failed to Cycle darm udl occur and the
ventilator will cease to cycle. Restoration of supply pressure over 30 PSI will
allow the ventilator to resume cycling and silence the audible alarm but the
visual ~7illremain lit to n o w the clinician of the alarm violation. Press
VISUAL RESET to clear LED indicator.
WARNING
--
I When a Low Gas Supply alarm occurs, the oxygen concentration to the patient will
be different than that set on the 0 2 control.
P LOW BATTERY Low Battery

Panel Group: Alarms
Range: On/Off
The Low Batterv alarm will activate when the internal battery has
approximately 5 minutes of power remaining before full dwharge.
Restoring AC h e power will silence the audible alarm and com-
mence c h a r p g of the internal battery, but the visual indicator will
remain lit to no* the clinician of the alarm violation. Press VISUAL
RESET to clear the LED indicator. The internal battery has a capaaty
to operate the ventilator for approximately 30 minutes when at 100"!0
charge. Ensuring that the ventilator remains plugged into an AC out-
let for 4 hours will return a discharged battery (i.e.the level of charge
udl not support ventilator operation) to full charge.
WARNING
Should the ventilator Fail to Cycle due to a loss of battery power, the venti-
lator control knob must be turned to the STANDBY mode prior to the
selected mode of operation (once power has been restored to the ventilator).
PATIENT Patient Circuit

CIRCUIT
Panel Group: Alarms
Range: On/Off
The Patient Circuit alarm will activate u4-m the macline pressure is
greater than the Low PEEP/CPAP setting plus 11 arH.20 and a
flow offset for 4.0 seconds (as would occur with complete occlusion
of the inspiratory or expiratory limb of the breathing circuit).
Following activation of the alarm, the inspiratory limb dump
solenoid will open in an attempt to decrease circuit pressure to
ambient. Once pressure is restored to ambient ( € 5 &O) for 3.0
seconds continuously, the inspiratory limb dump solenoid closes
and the ventilator returns to normal operation. If the condkion con-
tinues, the above sequence will repeat indefinitely. Also, pressing
VISUAL RESET will close the dump solenoid and cause a return to
normal operation. Resolving the alarm violation will silence the
~ remain to n o w the cliniaan
audible alarm but the visual a l c mwill
of the &arm violation. Press VISUAL RESET to clear LED indicator.
ALARMS PANEL DETAILS & SPECIFICATIONS
PROLONGED Prolonged Inspiratory Pressure

INSP PRESS
Panel Group: Alarms
Range: On/Off
The Prolonged Inspiratory Pressure Alarm will activate if the
measured proximal pressure remains above the reference value
(Low PEEP/CPAP + 10 cmH20) for more than 3.5 seconds. This
would occur with an occlusion of the expiratory limb as long as
the High Pressure Limit is not activated.
SETTINGS Settings Incompatible
INCOMPATIBLE
Panel Group: Alarms
Range: &/Off
The Settings Incompatible alarm will activate if the operator
attempts to set a control setting, or group of settings, that are
incompatible with one another. The following can cause a
Settings Incompatible alarm:
Operator has attempted to set an Inspiratory Time that is
incompatible for the Ventilator Rate selected (Inspiratory
Time and Ventilator Rate displays will flash).
In this condition, the set Inspiratory Time will not be deliv-
ered. Ventilator Rate will be maintained. *
Operator has attempted to set a Base Flow that is more than 2
times the Set Inspiratory Flow setting (Base Flow and
Inspiratory Flow displays will flash).
Ln this condition, the flow control solenoid will not cycle and
Base Flow will be delivered continously.
Operator has attempted to set a Volume Limit that is incom-
patible with the Flow or Pressure settings of the ventilator. If
the Inspiratory Flow setting is too high, the Volume Limit
LED digits will flash, alternating with "E.FL." If the Inspirato-
ry Pressure is too high, the Volume Limit LED digits will
flash, alternating with "E.PL."
PRESSURE
SET-~INGS
-
Pressure Settings Incompatible
INCOMPATIBLE
Panel Group: Alarms
Range: On/Off
The Pressure Settings Incompatible alarm will activate if the
operator attempts to set an inspiratory pressure level that is less
than the PEEP/CPAP setting, or a PEEP/CPAP level that is
more than the inspiratory pressure setting.
NOTE
In this condition, the pressure control solenoid will not cycle,
and PEEP/CPAP will be the continuous pressure level.
FLOW Flow Sensor
SENSOR
Panel Group: Alarms
Range: On/Off
The Flow Sensor alarm will activate if a sensor malfunction or
disconnect from the ventilator is detected. The ventilator wdl
continue to operate, and the alarm indicators can be extin-
guished. However, volume monitoring and synchronization
capabilities are disabled. The alarm indicators can not be can-
celled in m y mode that relies on flow for breath termination.
The Flow Sensor alarm will activate if the Flow Sensor is con-
nected to the ventilator but no flow activitv is detected in the
Apnea period (e.g. the Flow Sensor is not installed in the
patient circuit system).
WARNING
Removal of the Row Sensor from the circuit during operation will elimi-
nate the Assist Trigger and Volume Limiting functions. Failure to detect the
absence of the Flow Sensor, and/or respond to the Flow Sensor disconnec-
tion alarm, may cause injury to the patient.
CONTROLS PANEL DETAILS & SPECIFICATIONS
I 0LINE POWER 0 B A m
1
MNTllATOR RATE INSPIWTORY TIME )
I
BASE FLOW INSPIWITORY FLOW UN- ASSIST SENSITIVITY -UU M A N W BREAM
CONTROLS The controls are located in the lower portion of the iront panel.
Using control knobs and LED displays, data entry is straightfor-
ward and always visible. Displays are GREEN LEDs indicating
-
control data.
0 LINE POWER Line Power

Panel Group: Controls
Range: &/Off
Tl~eLine Power LED illuminates green when the ventilator is
operating on line power. The LED will change to red if line
power is lost and the ventilator is operating on battery power. If
the ventilator loses all power sources, the LED will extinguish.
0 BATTERY Battery
Range: On/Off
The Battery LED illuminates green when the ventilator is oper-
ating on line power and the battery is charging. The LED also
illuminates green if the ventilator is not on line power and the
battery charge is sufficient to power the ventilator. If the venti-
lator is on line power ,and the battery charge is not sufficient to
power the ventilator, the LED will extinguish.
I I Mode Select
Flow Cycled AC
SlMVllMV -
"-@
7
-
v STANDBY
CPAP
I Panel Group: Controls
Range: Flow Cycled AC, AC, SIMV/IMV, SIMV/PSV, Flow
Cycled SIMV, Standby,CPAP and PSV ,-
FIOW Cycled SIMV Controls all power to the ventdator and allows selection of the
method of operation.
PANEL DETAILS & SPECIFICATIONS CONTROLS
Flow Cycled AC
In the Flow Cycled AC position, a mechanical breath is deliv-
ered with each inspiratory effort, provided the patient satisfies
Flow Cycled AC
SIMV/MN A
7
-
c STANDBY
CPAP
the assist sensitivity criteria. If the patient does not meet the
assist sensitivity criteria, the ventilator automatically delivers
breaths according to the Ventilator Rate control. All breaths will
Flow Cyded SlMV be flow cycled when the inspiratory flow fcallsto 10% of the peak
inspiratory flow rate, or time cycled at the preset INSPIRATORY
TIME, or volume cycled when the volume limit is reached,
whichever occurs first. The 1nspirator)rT i e h p l a y ~lll
flash if
the breath is terminated based on time rather than flow.
AC
In the AC position, a mechanical breath is delivered with
Flow Cycled AC 7 each inspiratory effort, provided the patient satisfies the
c STANDBY
assist sensitivity criteria. If the patient does not meet the
SlMVilMV CPAP
A
assist sensitivity criteria, the ventilator automatically delivers
breaths according to the Ventilator Rate control. All breaths
Flow Cycied SlMV
will be time cycled at the preset INSPIRATORY TIME, or vol-
ume cycled when the volume limit is reached, whchever
occurs first. Mechanical breaths may then be either patient
initiated (assisted) or ventilator initiaied (controlled).
SIMV/IMV
In the SIhN/IMV position, a combination of mechanical and
FlowCycledAC 7
spontaneous breath types are available. Mechanical breaths,
c STANDBY
SlMVflMV CPAP
either assisted or controlled, are delivered at the set ventilator
rate while all other breaths are spontaneous. Ventilator
Flow Cycled SlMV breaths u7ill be time cycled at the preset INSPIRATORY TIME
or volume cycled when the volume limit is reached, whichev-
er occurs first.
SIMV/PSV
In the S&fV/PSV position, a combination of mechanical and
spontcmeousbreath types are available. Mechanical breaths,
-
Flow Cycled AC 7
c STANDBY either assisted or controlled, are delivered at the set ventilator
SlMvnMv A CPAP rate while all other breaths are spontaneous. Mechanical
breaths will be time cycled at the preset INSPIRATORY TIME
Fbw Cyded SlMV or volume cycled when volume h i t is reached, whichever
occurs first. All spontaneous breaths reco,onized by the ventila-
tor between the mandatory breaths will be supported by the
ventilator to the preset INSPIRATORY PRESSURE and'flow
cycled when the inspiratory flow fcdsto 10% of the peak inspi-
ratow flow rate, or time cycled at the preset INSPIRATORY
TIME, or volume cycled when the volume limit is reached,
whichever occurs first. The Inspiratory Time Display will flash
if the breath is terminated based on time rather than flaw.
Flow Cycled SIMV

In the Flow Cycled SIM\r position, a combination of mechani-
SlMVAMV
SIrrvPSV
-
Flow Cyded AC
Ac-o --
Flow Cyded SlMV
7
[
c STANDBY
CPAP
PSV
cal and spontaneous breath types are available. Mechanical
breaths, either assisted or controlled, are delivered at the set
ventilator rate while all other breaths are spontaneous. All
pressure limited breaths are delivered to the patient at the
preset INSPIRATORY PRESSURE and are flow cycled when
the inspiratory flow falls to 10% of the peak inspiratory flow
rate, or time cycled at the preset INSPIRATORY TIME, or vol-
ume cycled when the volume limit is reached, whichever
occurs first. The Inspiratory Time Display will flash if the
breath is terminated based on time rather than flow.
NOTE
Disabling the assist sensitivity mechanism, or removing the
flow sensor from the ventilator, will cause the equivalent of
IMV mode of ventilation to exist.
PSV
I
Flow Cycled AC
SIMVrU(V
Flow Cycled SlMV

7
-
c STANDBY
CPAP
In the PSV position all spontaneous breaths recognized by the
ventilator will be supported to the preset INSPlRATORY PREE
SURE and flour cycled when the inspiratory flow falls to 10% of
the peak inspiratory flow rate, or time cycled at the preset INSPI-
RATORY TIME, or volume cycled when the volume limit is
reached, whichever occurs first. The Inspiratory T i e *lay will
flash if the breath is terminated bed on time rather than flow.
I ~ l o w w ~ c
SIMVIIMV
- c STANDBY
CPAP
I
CPAP
In the CPAP position, the Base Flow control establishes the
continuous flow available for spontaneous breathing.
A
NOTE
Flow Cyded SlMV 1 If the patient becomes apneic, in PSV or CPAP mode, following
an apnea time-out the ventilator will deliver a backup breath at
the preset INSPIRATORY TIME and INSPIRATORY PRESSURE.
If no spontaneous effort is detected during a subsequent time-out
period, based on the breath interval set by the VENTILATOR
RATE or 10 seconds, whichever is less, an additional backup
breath will be delivered. llus sequence will repeat until a sponta-
neous effort is recognized. An apnea alarm will be reported
throughout this sequence.This requires a functional flow sensor.
STANDBY
I
Flow Cycted AC
SIMVIIMV -
Flow Cycled SlMV
7
-
c STANDBY
CPAP
The STANDBY position discontinues all electrical controls
and f~mctionswith the exception of the charging system for
the internal battery.
NOTE
If the ventilator is connected to air and 0 2 sources, blended gas
will circulate while ventilator is in the STANDBY position, mak-
ing gas available from the Auxiliary Gas Outlet. The amount of
gas flow circulating is determined by the Base Flow setting.
PEEPICPAP
The PEEP/CPAP control sets the baseline level of pressure in the
breathing circuit. Baseline pressure is set by rotating the
PEEP/CPAP control knob (in a clockwise direction to increase), and
obsening the pressure on the digital &play or m d o g manometer.
WARNING
If the PEEPICPAP control is incorrectly set, a negative pressure can be

applied to the patient circuit. I t is recommended that the operator always
monitor PEEP levels and adjust appropriately when changing Base Flow.
Inspiratory Pressure
INSPIRATORY
PRESSURE
The Inspiratorv Pressure control sets the inspiratory pressure level
delivered during mechanical breaths. The inspimtory pressure
level is set by rotating the Inspiratory Pressure control knob (in a
clockwise direction to increase) 'and observing the pressure on the
digital displav or analog manometer during inspiration.
VENTILATOR RATE Ventilator Rate

Range: 1 to 150 BPM
The Ventilator Rate control establishes the minimum number of
mechanical breaths delivered in all AC modes, and the number
of mechanical breaths in all SIMV modes.
CONTROLS PANEL DETAILS & SPEClFlCATlONS
INSPIRATORY TIME Inspiratory Time

The Inspiratory Time control sets the duration of the inspiratory
portion of the mechanical breath.
NOTE
Inappropriate time selection based on the ventilator rate select-
ed will result in a settings incompatible alarm. During the
alarm, the inspiratory time display will flash. Resolving the
incompatible control situation will extinguish the audible and
visual indicators. During a Ventilator Rate/Time Setting
Incompatible condition, the set Inspiratory Time will not be
delivered. The ventilator rate will be maintained.
0
VOLUME LIMIT
Volume Limit
Panel Group: Controls ,-
Range: 5 to 300 ml
The Volume Limit control establishes an upper boundary for
deliverable inspiratory tidal volume during mecl~anicalbreaths
or supported breaths. When the set threshold is reached, the
ventilator will cycle into exhalation, and an LED will be illurni-
nated. An audible indicator will occur only when 5 consecutive
mandatory or supported breaths have exceeded the Volume
Limit control threshold.
NOTES
Lf the Inspiratory Flow setting is too high for the Volume Limit
Setting, the Volume Limit LED digits will flash, alternating with
"E.FL." If the Inspiratory Pressure is too high, the Volume Limit
LED digits will flash, alternating with "E.PL."
A "volume limited" breath will result in an inspiratory time
and possibly inspiratory pressure which are less than the con-
trol settings.
The Volume Limit LED will display dashes if the flow sensor is
absent or disabled.
If the Inspiratory Pressure control is set higher than the pressure reached at
the Volume Limit condition by more than 30%, the volume delivered to the
patient may be significantly greater than Volume Limit setting.
If the Inspiratory Pressure control is set higher than the pressure reached at
the Volume Limit condition, the High Pressure Limit control should be set
appropriately to prevent injury to the patient, in the event volume limiting
is cancelled due to loss of the flow sensor.
Removal of the flow sensor from the circuit during operation will eliminate
the flow trigger, flow cyclings and Volume Limiting functions. Failure to
detect the absence of the flow sensor andlor respond to the flow disconnec-
tion alarm may cause injury to the patient if not corrected.
1
Volume Limit Audible Off

The volume Limit Audible Off is activated by depressing the
( AUDIBLE OFF )
AUDIBLE OFF button for a minimum of 3 seconds. A visual
2 VOLUME LIMIT
indicator will indicate that this feature has been enabled. The
Audible Off feature may be cancelled by depressing the AUDI-
BLE OFF button while the feature is active.
NOTE
The AUDIBLE OFF feature only cancels the audible volume
limit indicator. The Volume Limit Function is not affected.
Base Flow
BASE FLOW
Range: 1 to 30 LPM
The Base Flow control sets the background flow available to the
patient for spontaneous breathing during the expiratory phase
of a mechanical breath.
NOTES
Inappropriate setting of Base Flow will result in an
Incompatible Settings alarm. During t k alarm, the Inspiratory
and Base Flow displays will flash, and Base Flow will be deliv-
ered continuously. Resolving the incompatible control situation
wdl extinguish the audible and visual indicators.
Use of the Auxiliary Gas Outlet will affect the accuracy of the
delivered Base lo& out of the "TO PATIENT" port when total
flour (Base Flow and Auxiliary Flow) exceeds 25 LPM. Note that
total ventilator flow capability is 30 LPM.
INSPIRATORY FLOW Inspiratory Flow

Range: 1 to 30 LPM
The Inspiratory Flow Control sets the flow rate delivered by the
ventilator during the inspiratory phase of a mechanical breath.
NOTES
Inappropriate setting of Inspiratory Flow will result in an
Incompatible Settings alarm. During this condition, the
Inspiratory and Base flow displays will flash, and Base Flow
will be delivered continually. Resolving the incompatible con-
trol situation will extinguish audible and visual indicators.
-
Use of the Auxiliary Gas Outlet will affect the accuracy of the
delivered Inspiratory Flow out of the "TO PATIENT" port when
total flow (Inspiratory Flow and Auxiliary Flow) exceeds 25
LPM. Note that total ventilator flow capabhtv is 30 LPM.
MIN. ASSIST SENSITIVITYMAX. Assist Sensitivity

Range: 0.2 to 5.0 LPM
The Assist Sensitivity control determines the amount of inspira-
tory effort the patient must exert to trigger an AC breath, S W
breath, or have spontaneous breaths counted and displayed in
the breath rate window. At the most sensitive position, the
patient must create a flow demand through the sensor of at
least 0.2 LPM to cause 'my of the above to occur.
To detect a leak at the patient airway, adjust the sensitivity knob
to the right and note the presence of a Leak Detection LED bar
to the left of the Assist Sensitivity LED. If no LED bar is present,
no leak is detected and the Assist Sensitivity LED bar should be
positioned at the minimum setting. If a Leak Detection LED bar
appears to the left of the Assist Sensitivity, this represents the
presence of a leak. Adjust the Assist Sensitivity LED bar one bar
position to the right of the Leak Detection LED. This optimizes
the sensitivity to prevent auto cvcling.
NOTE
No Assist Sensitivity LED will be displayed if the flow sensor is
absent or disabled.
LOWER FRONT FACE LOWER FRONT FACE
MANUAL BREATH Manual Breath

Range: On/Off
Once depressed, the Manual Breath button delivers a single
mechanical breath at the inspiratory time, flour rate, and inspi-
ratory pressure as set on primary controls.
p LOWERJFRONT FACE
Auxiliary Gas Outlet

Location: Left Side of Ventilator
The Auxiliarv Gas Outlet provides a source of blended gas for
nebulizers at-a minimum of 8 PSI for a typical flow of 6 LPM.
NOTES
Use of the Auxiliary Gas Outlet will affect the accuracv of the
delivered Base Flow out of the "TO PATIENTd1port when total
flow (Base Flow/Inspiratorv Flow and Auxiliary Flo~v)exceeds
25 LPM. Note that total ventilator flow capability is 30 LPM.
If total corrected gas flow (Auxiliary plus Flow Control) is
greater than 30 LPM, auxiliary pressure out will be less than 7
PSI and nebulizer may not be effective.
LOWER FRONT FACE PANEL DETAILS & SPECIFICATIONS
[ CAUTION I
The 0: DISSfitt~rzgotl the Auxiliary Gas Sirpply is a bladed gas ouilei. Do nof ion-
rlect an O q p z Gas s ~ i p p l yto thisjitting, as datrzage to the wntilotor nmy occur.
Oxygen %
Location: Lower Left Front Face
Range: 21 - 100%
The internal Oxygen Blender provides a variable oxygen con-
centration from 21 to 10O0/0.
I WARNING I
It is suggested that oxygen concentration be monitored continuously using
an oxygen analyzer that includes both high and low alarms. If a high or low
oxygen percent alarm is activated, an Operational Verification Procedure
(OVP) should be performed on both the ventilator and the external oxygen
monitor. If the ventilator fails the OVP, it should be referred to an Thermo
Respiratory Group service technician.
Alarm Speaker
The Alarm Speaker generates audible alarms. The loudness
level for alarms is adjustable within a range of 60 to 75 dB(A).
Flow Sensor
The Flow Sensor signal is transmitted to the ventilator through
this 15 pin connector. If the flow sensor is not connected to the
ventilator, a flow sensor alarm will be activated. The alarm may
be disarmed by pressing Visual Reset for any mode in which
breaths are not flow cycled. The ventilator will operate without
the flow sensor but Volume Limit, volume monitoring, flow
triggering and Flow Cycling will not be available.
The Flow Sensor is installed at the patient wye between the
endotracheal tube and breathit~gcircuit.
PANEL DETAILS & SPECIFICATIONS LOWER FRONT FACE
I WARNING I
Removal of the flow sensor from the circuit during operation will eliminate
the flow trigger, flow cycling and Volume Limiting functions. Failure to
detect the absence of the flow sensor and/or respond to the flow disconnec-
tion alarm may cause injury to the patient if not corrected.
If the flow sensor is not being used with the BEAR CUB 750~sInfant
Ventilator, the Apnea alarm is disabled in PSV and CPAP modes.
P R O ; ~ ~ ~ ~R E ~ P ~ S ~ ~Proximal
U Pressure Port
Location: Lower Front Face
The Proximal Pressure Port (for l/8" I.D. tubing) receives pres-
sure input from the patient l y e via the proximal pressure tub-
ing. A proximal purge flow of 100 ml/rnin minimizes any mois-
ture or contaminant migration up the proximal line.
Use only 118" I.D. tubing for the proximal airway pressure sensing line. Use
of larger I.D. tubing may cause pressure oscillations under some conditions.
Do not place restrictive adapters in-line as malfunction may result.

Restriction in the proximal line or proximal filter will cause the delivered
pressure to be less than the monitored values.
TO PATIENT Main Flow "To Patient" Port

Location: Lower Front Face
The "To Patient" port provides the flow of gas to the patient.
Exhalation Valve Assembly
dim
1\:
4"
- .$
,.+Ii
y;\,
-
.A
0 ki
The Exhalation
Location: Lower Right
ValveFront
Assembly
Face controls the breath phase
(inspiration or exhalation) as well as PEEP/CPAP applied dur-
ing exhalation.
BACK PANEL PANEL DETAILS & SPECIFICATIONS
BACK PANEL
RS-232 IWE3ZACE ANALCG OUTPUT REMOTE

NURSES
CALL
8
AURM LWDNESS
WARNING DO NOT BLOCK OR

RESTRICT THIS BLEED POfiT
ECNIPMEW UALNNCTION WiLL
DISPLAY POWER RESULT
ZTV 1 5 W MAX
RS-232 Digital Communication Interface

Location: Back Panel
RS-232 INTERFACE
The RS-232 %pill Female Connector permits the ventilator to
digitally communicate with a central monitor, a computer, or
the BEAR@VGh4.
WARNING
The user should never touch the "RS-232 Interface" or " h a l o g Output" con-
nectors and the patient simultaneously.
PANEL DETAILS & SPECIFICATIONS BACK PANEL
Analog Output
The Analog Output 15-pin Female Connector provides analog
ANALOG OUTPUT
signals of pressure, flow and breath phase.
Pressure (Signal Pin 1,Ground Pin 2)

Pressure Range -10 to 100 cmH20
Scale: 1cinH.0 / 25mV
Zero: 1.25VDC at 0 unH20
Flow (Insp./Exp.) (Signal Pin 3, Ground Pin 4)

Flow Range: -40 to 40 LPM
Scale: 1LPM / 50mV
Zero: 2.5 VDC at 0 LPM
Flow (Delivered) (Signal Pin 3, Ground Pin 4)

Flow Range: 0 to 30 LPM
Scale: 1LPM / 50mV
Zero: 2.5 VDC at 0 LPM
Breath Phase: (Signal Pin 9, Ground Pin 10)

0,5 VDC (5 VDC for inspiration phase)
Remote Nurse Call

REMOTE The Remote Nurse Call provides a signal (switch indication) for
NURSE alarm conditions. The switch will be normally closed and will
CALL
open the circuit when the alarm is active. The contact is rated at
up to 0.5 amps at 24 vdc.
Apnea Alarm
The Apnea Alarm Control allows the clinician to select from
APNEA ALARM four available time periods for apnea alarm activation. The
(SECS)
selections are 5,10,20, or 30 second intends.
Alarm Loudness
G
ALARM LOUDNESS
Location: Back Pcmel
Range: 60 to 75 dB(A)
The alarm loudness knob adjusts the volume of the audible
alarms. Turn clockwise to increase volume and counterclock-
wise to decrease.
BACK PANEL PANEL DETAILS & SPECIFICATIONS
Alarm loudness must be set above ambient sound in order to be heard.

I
Air Inlet, Water Trap and Oxygen Inlet
Air and 0 2 Inlet Fittings and the Air Inlet Water Trap provide
the connection for the ventilation gas sources. Gases must be
supplied at pressures between 30 and 80 psig with a minimum
flow capability of 50 LPM.
I CAUTION 1
Display Power Outlet

DISPLAY POWER
22V 15W MAX Location: Back Panel
The Display Power Outlet supplies power to the Ventilator
Graplucs Monitor (VGM). The outlet utilizes a 3-pin connector
and provides unfiltered DC (15W maximum) to the display. -.
Output to the VGM is only provided when the ventilator is on
t EXCLU-
and operating off of line power. This vower o u t ~ u is
SIVELY for use with the VGM unit.
NOTE
The VGM will NOT operate when the ventilator is operating
solelv on battery power.
Power Inlet Module

The Power Inlet Module has an international standard plug
(conforming to IEC-320). The BEAR CUB 750mv Ventilator is
configurable to other voltages with voltage conversion kit
installation.
Supply Voltace Fuses
100/120 0.5 amp
230 / 240 0.25 amps
Set voltage selector switch to 230V for 220V operation.

PANEL DETAILS 8 SPECIFICATIONS BACK PANEL
Over Pressure Relief

The Over Pressure Relief Valve acts as a mechanical back-up
limit to the electronic High Pressure Limit alarm. Strictly
OVERPRESSURE
RELIEF mechanical in design, it relieves pressure in the ix~spiratorylimb
of the patient circuit. Pressure relief is adjustable between 15 to
75 crnH20.
It is recommended that the Over Pressure Relief Valve be
adjusted to a minimum of 15 crnH2O above the High Pressure
Limit alarm setting. To adjust the Over Pressure Relief Valve,
loosen the locking ring and occlude the patient wye and the
exhalation line. Rotate the Over Pressure Relief Valve control
knob counterclockwise to decrease (clockwise to increase) until
the peak inspiratory pressure, as s11ow.n on the proximal airway
cmH20 above where the High Pressure Limit alarm and the
INSPIRATORY PRESSURE control will be set. Tighten the lock-
ing ring.
WARNING I
individual patient could result in patient injury should the internal pres-
sure relief valve fail.
6. TROUBLESHOOTING
Troubleshooting Chart ...................................-6-2

Error Codes .................................................... 6-6
How to Identify Stored Error Codes .................6-7
CHART TROUBLESHOOTlNG
TROUBLESHOOTING CHART
Svrnvtom Possible Causes Corrective Action
Low Gas Supply Alarn~ 1. Air supply inlet pressure has 1. Check for secure air hose
decreased to below 24 2 connection to ventilator,
PSIG. compressor cmd/or wall.
Restore air supply pressure.
Verify air inlet pressure on
front of trentilator in monitor
section.
2. Oxygen supply inlet pressure 2. Check for secure 02 hosecon-
has decreased to below 24 nection to ventilator, 02 tank
2 PSIG. and/or wall. Restore oxygen
supply pressure.
Verify oxygen inlet pressure
on front of ventilator in mon-
itor section.
3. Air and oxygen supply pres- 3. Check for secure air and oxy-
sures have decreased to gen hose cormection to venti-
below 24 & 2 PSlG. lator, compressor, 0 2 tank
and/or wall. Remove the
patient from the ventilator.
Provide alternate ventilation.
Restore supply pressures.
4. Clogged air inlet T.\-ater 4. Replace inlet filter if clogged.
trap /coalescing filter.
5. Inoperative air pressure 5. Remove the ventilator from

transducer. senice. Contact a Thermo
Respiratory Group certified
senice technician for repair.
6. Inoperative oxygen pressure 6. Remove the ventilator from
transducer. senice. Contact a Thermo
Respiratory Group certified
service technician for repair.
- -- -- - --
Failed to Cycle Alarm 1. Ventilator hrudware or soft- 1. Remove the patient from the
ware malfunction. ventilator. Provide alternate
ventilation and refer to a
Thermo Respiratory Group
certified senice technician
for repair.
2. Air and oxygen supply pres- 2. Check for secure air and oxy-
sures have decreased belokv gen hose connection to venti-
24 + 2 PSIG. lator, compressor, 0 2 tank
and/or wall. Remove the
patient from the ventilator.
Provide alternate ventilation.
Restore supply pressures.
TROUBLESHOOING CHART
Symptom Possible Causes Corrective Action
Flow Sensor Alarm 1. Defective flow sensor. 1. Replace flow sensor.

2. Flo~vsensor not connected. 2. Connect flow sensor.
3. Flo~vsensor not installed in 3. Install flow sensor.
patient circuit.
4. Occluded flow sensor 4. Remove occlusion.

and/or Endotracheal Tube.
5. Patient has not initiated a 5a. Evaluate patient status and

breath within the selected change level of support as
apnea time intend. indicated.
5b. Evaluate Assist/Sensiti\ity
setting.
Low PEEPICPAP Alarm 1. Leak in patient circuit. 1. Check circuit, including

humidifier, for disconnects
or leaks.
2. Patient dsconnected. 2. Reconnect patient.
3. Proximal pressure sensing 3. Reconnect proximal Pressure

line disconnect. sensing line.
4. Improperly set alarm. 4. Re-eralua te alarm setting.
High Breath Rate Alarm 1. Change in patient status 1. Reevaluate patient status.
causing an increase in breath
rate.
2. Improperly set alarm. 2. Reevaluate alarm setting.

3. Water in patient circuit caus- 3. Drain patient circuit.
ing auto-cycle or false flow
trigger.
4. Autocychg due to Assist 4. Address endotracheal tube

Sensitivit). setting in conjunc- leak 'and re-e~~aluate
assist
tion with large endotracheal sensitivity setting.
tube leak.
If an error code appears in a monitor window, record the error code 'and contact your Thermo
p Respiratory Group Certified Service Technician.
CHART TROUBLESHOOTING
Svmvtom Possible Causes Corrective Action
1. Leakinpatientcircuit. 1. Check circuit, including

Low Inspiratory
humidifier, for disconnects
Pressure Alarm
or leaks.
2. Change in patient compliance 2. Re-evaluate patient status.
or resistance fl C, R).
3. Improperly set High Pressure 3. Reevaluate alarm settings.

alarm.
4. Volume Limit event with 4. Re-evaluate patient settings.

decreased inspiratory time.
1. Occlusion of the inspiraton 1. Check patient circuit and

or expiratory limb of the remove occlusion. Check for
High Pressure Limit Alarm breathing circuit. excess lvater in patient cir-
cuit, drain if present.
2. improperly set alarm, alarm 2. Reevaluate alarm settings.

limit set below observed
pressure on manometer.
1. User has attempted to select 1. Re-elraluate control settings

a n Inspiratory Pressure set- for Inspirator). Pressure and
Pressure Settings ting lower than PEEP/CPAP PEEP/CPAP.
Incompatible Alarm setting.
1. Patient has not initiated a la. Evaluate patient status and

breath within the selected change level of support as
Apnea Alarm time interval. indicated.
lb. Evaluate Assist Sensitivity
setting.
2. Occluded Endotracheal Tube. 2. Remove occlusion.
1. Unit operating on internal 1. Restore A/C line power

battery ~ 4 t less
h than 5 min- source or provide alternate
utes remaining before full ventilation.
Low Battery Alam~ discharge.
(non-silenceable) 2. Open door and connect t ~ t t q .
2. h t t e r y isn't hooked up.
L\
Lf ,an error code appears in a monitor window record the error code and contact your Thermo
Respiratory Group Certified Senrice Teclmician.
Svmv tom Possible Causes Corrective Action
1. Occlusion or disconnect of 1. Remove occlusion and /or

Patient Circuit Alarm
the proximal pressure sens- reconnect proximal pressure
ing line. sensing line.
3. Occlusion of the inspiratory 2. Check inspiratory or expira-

or expiratory limb of the tory limb of breathing circuit
breathing circuit. and remove occlusion.
Prolonged Inspiratory Pressure 1. Occlusion of either the expira- 1. Check patient circuit and
Alarm tory lirnb or the proximal pres- remove occlusion. Check for
sure sensing line of the breath- excess water in patient circuit,
ing circuit, not allowing pres- drain if present.
sure to return to reference
level.
2. User has established a 2. Adjust Low PEEP/CPAP

PEEP/CPAP lex-el which is at disconnect alarm setting
least 10 crnH2O above the set appropriately in considera-
Low PEEPjCPAP alarm set- tion of clinician-selected
ting. PEEP/CPAP level.
1. User has selected a Base Flow 1. Re-evaluate control settings

Settings Incompatible Alam setting that is more than two for Base Flow and Inspirator).
times higher than the Flow.
Inspiratory Flow setting.
2. User has selected an Inspiratory 2. Reevaluate control settings

Time that is inappropriate for for Lnspiratory Time and
the set Ventilator Rate. Ventilator Rate.
3. User has set an Inspiratory 3. Revaluate control settings

Flow rate or Inspiratory for Flow Rate (E.FL flashing in
Pressure that is inappropriate Volume Limit window) or
for the set Volume Limit. Inspiratory Pressure (E.PL
flashmg in Volume Limit win-
dow).
If an error code appears in a monitor window, record the error code and contact your Thermo
Respiratory Group Certified Service Technician.
P
ERROR CODES TROUBLESHOOTING
ERROR CODES
Error Code Problem Action
Power-up ram errors Call TRG* Technical Support

Power-up rom checksum errors Call TRG*Technical Support
Pot-disconnect error Call TRG* Technical Support
Pressure-calibration EEPROM read error Call TRG* Teclmical Support
Flowpot calibration EEPROM read error Call TRG* Teclmical Support
Altitude setting EEPROM read error Call TRG* Technical Support
E09 EEPROM hour meter error Call TRG* Technical Support

El0 Baud-rate setting EEPROM read error Call TRG* Technical Support
Ell Error-Code setting EEPROM read error Call TRG* Technical Support
El2 Analog flow output type error Call TRG* Technical Support
RAM test error Call TRG* Techrucal Support

ROM checksum error Call TRG" Technical Support
Solenoid activation error Call TRG* Technical Support
Received Flowpot Data error Call TRG* Technical Support
Failed first ACK test Call TRG* Technical Support

Failed subsequent ACK test Call TRG* Teclmical Support
Not programmed as short wire sensor (Good Wires) Call TRG*Technical Support
lncorrect checksum Call TRG* Technical Support
T
Failed first ACK test Call TRG* Technical Support
Failed subsequent ACK test Call TRG* Teclmical Support
Not programmed as short wire sensor (Bad Wires) Call TRG* Technical Support
Incorrect checksum Call TRG* Teclmical Support
Blown Wire, EEPROM OK Replace Flow Sensor
A/D error flag Call TRG* Teclutical Support

SPI error flag Call TRG* Technical Support
Loss of AC polver Restore AC Power

Prox P & Rate Mon/Ctrl discrepancy Call TRG*Technical Support
A/D error Call TRG* Technical Support

SPI error flag Call TRG" Teclmical Support
2.5 rns overrun flag Call TRG" Technical Support
SCI error flag Call TRG* Tecluucal Support
Mode Switch Data Error Call TRG* Technical Support
* TRG = Thermo Respiratory Group

TROUBLESHOOTING HOW TO IDENTIFY STORED ERROR CODES
fi
HOW TO IDENTIFY
STORED ERROR CODES
1. Enter User Diagnostics mode bv depressing MANUAL
BREATH switch while turning the ventilator on. The
BREATH RATE display shall indicate diagnostic test d22.
2. Repeatedly press TEST until the BREATH RATE
display indicates diagnostic test d30. The TIME/RATIO
displa; indicates a number to represent the number in the
sequence of 1 to 15 of the circular buffer which stores the
error codes in EEPROM. (The ventilator will store a maxi-
mum of 15 error codes.) The PRESSURE display indicates
the error code stored in the respective buffer location.
(refer to error code list) If there are no error codes stored,
"EOO" will be displayed.
3. If more than one error code has been stored, then press the
MANUAL BREATH switch repeatedly to scroll through
the list of error codes that have been stored in memory.
4. To clear the error codes stored, press and hold the PRES-
SURE display switch and simultaneously press the MAN-
UAL BREATH switch.
7 . CLEANING & MAINTENANCE
Cleaning Instructions................................... 7.2

Patient Circuit System ..................................... 7-2
Flow Sensor .......................
..........................7.2
Cleaning the Exhalation Manifold
and Muffler Assembly. ...............................7.3
Air Inlet Water Trap ......................................... 7-4
Sterilization Instructions...................................7-5
Preventive Maintenance Schedule ................ 7-6
Internal Battery Care .................................. 7-6
Internal Battery Replacement ........................7-7
CLEANING INSTRUCTIONS
CLEANING
INSTRUCTIONS
CLEANING & MAlNTENANCE
Following each patient use, or more frequently per hospital pro-

tocol, it is important to clean the exterior of the ventilator as
well as to clisassemble and clean the various components in the
patient circuit system, exhalation valve, and air inlet water trap.
-
Before cleaning the exterior of the ventilator, the power cord of
the ventilator and humidifier must be unplugged. The ventila-
tor cmd pedestal stand can be disinfected by wiping the exterior
with an appropriate bactericidal or germicidal agent. Care
should be taken to not allow any liquid to penetrate the inside
of the ventilator.
PATIENT CIRCUIT The Patient Circuit System (with the exception of the bacteria
SYSTEM filters) should be cleaned with a warm detergent solution. All
parts should then be thoroughly rinsed in warm water and pre-
pared for sterilization. Remove and clean the flexible corrugat-
ed hoses, patient circuit tubing, adapters and connectors.
FLOW SENSOR The Bear Cub 750 PSV Flow Sensor should be cleaned thoroughly
at a frequencv determined by hospital protocol. The performance
of the infant flow sensor can be affected by secretions and parti-
cle deposits (i.e, minerals, medications). More frequent cleaning
may be necessary when used on patients with hemy secretions.
After using a sterilization solution for cleaning, thoroughly rinse '3
in sterile, distilled water before drying and packaging.
r Ncbrtli=rr rrledicafiotis shodd riot be used wheu the Flax Smsor is attached to thc
pati~wtc h t i t . I
The sensor should be cleaned prior to sterilization with can enzy-
matic cleaner. Ultrasonic cleaning is not recommended.
Irrz~nersiolr Cleaning: Prepare a solution of enzymatic cleaner
(ie: Klenzyme) according to the manufacturers recommenda-
tions. Add a sufficient amount of the prepared solution to a pan
to cover the devices. Allow the device to soak in the solution for
a period of ten (10) minutes. Periodic "up and down" agitation
may assist with the removal of protein particles from the device.
Remove the sensor from the cleaning solution and rinse in basin
of (distilled/de-ionized) water. Agitating "up and down" will
assist with the removal of any remaining cleaning solution and
will ensure a complete rinse.
.
1
CLEANING & MAINTENANCE CLEANING THE EXHALATION MANIFOLD AND MUFFLER ASSEMBLY
Do not rinse seiisor i ~ i t hthe f o r m o f at? oyeii faltcet. Doiiig so iuill dnvznge
thp sciisor.
Dry the device with a soft cloth being careful not to introduce
anything into the body of the device.
I CAUTlO# I
Neaer atteiizpt to insert cleaning imtr~clileiltsintoj7o;u smsor or to d r y the
i n t r r m l components w i t h a high-presswe gas source. Doinx so i ~ i l dntringe
l
The BEAR Cub 7 5 0 Flow ~ ~ Sensor can undergo a minimum of

50 (fifty) cleaning cycles.
CLEANING THE The Exhalation Manifold and Muffler Assembly should be

EXHALATION removed and cleaned between patients. Reference the disas-
sembly diagram below.
MANIFOLD AND
MUFFLER ASSEMBLY
P
1
Figure 7-1 Exhalation Manifold with Muffler Assembly

CLEANING THE EXHALATION MANIFOLD AND MUFFLER ASSEMBLY
CLEANING THE
EXHALATION
MANIFOLD AND
CLEANING & MAlNTENANCE
All exhalation manifold and muffler assembly parts (except the

exhalation control pin assembly) should be cleaned in a warm
detergent solution. Thoroughly rinse all parts cleaned above in
-
warm water, dry, and prepare for sterilization.
MUFFLER ASSEMBLY
(continued) The Control Pin Assembly need not be removed at each clean-
ing of the exhalation valve assembly, but it should be disinfect-
ed with an alcohol solution and inspected for the presence of
contaminents that might interfere with its function. The pin
should move freely in its bushing with no sluggishness or stick-
ing. Any question concerning the proper functioning of the pin
should be verified by performing an Operational verification
Procedure (OVP - P/N 50000-12196).
Periodic removal and cleaning of the control pin assembly is
required. The frequency varies depending- on use and condi-
tions. ~ecommendationsare as follo&:
CONTROL PIN ASSEMBLY CLEANING SCHEDULE
CONDITION RECOMMENDED CYCLE
( 1) Where any or all of the below are true:
Any visible fluid at the end of the expiratory leg

of the circuit.
Monthly (along with OVP)
Use of nebulized medicants for more than
2 hr./day.
( Suspected high contamination in the hospital
air supply is present.
I 2) Where all of the below are true:
No visible fluid at the end of the expiratory leg

of the circuit. NOTE: Heated wire circuits have At every Preventive Maintenance
been shown to control end expiratory humidity
extremely well.
A 0.8 micron coalescing air inlet water trap is
AIR INLET The entire Air Inlet Water Trap may be cleaned with a warm
WATER TRAP detergent solution. All components may then be thoroughly
rinsed in warm water. When reassembling the air d e t water
trap, be careful to assemble it correctly and not to overtighten 1
the bowl. Overtightening mav cause cross threading of the
bowl.
CLEANING & MAINTENANCE STERILIZATION INSTRUCTIONS
e The Bear Cub 750 rsv Flow Sensor may be sterilized utilizing a
STERILIZATION
INSTRUCTIONS Ethylene Oxide (EtO) sterilization process. (50 sterilization
cycles maximum).
Ethylene Oxide (EtO)
Sterilize the devices using EtO as follows:
Preco~zditionirzgParameters:
Temperature 54 + 2°C
Relative Humidity 70% + 5%
Vacuum 21 + 1 I n H g
Time 1how
Sterilization Parameters:
EtO Carrier User Specified
Temperature 54 + 2°C
Relative Humidity 70% + 5%
Pressure (PSIG) 141t 1
EtO Concentrations 600 + 25mg/l
EtO Exposure Time 4 hours
Aeration Time 12 holm at 55" C
RECOMMENDED GUIDELINES FOR STERILIZATION
COMPONENT METHOD
Tubing TygorfB 318" I.D. and 3/16" I.D. Gas, liquid, pasteurization, or autoclave
Connector. Endotracheal, 4-way, 11mm Gas, liquid, pasteurization, or autoclave

O.D.115 mm I.D.1318" O.D.
Connector. 318" O.D. - Both Ends Gas, liquid, pasteurization or autoclave
Adapters, Endotracheal 11mm and 15mm Gas, liquid, pasteurization or autoclave
Bacteria Filter, Infant 318" O.D. - Both Steam autoclave only

Ends and 114" O.D. Proximal Bacteria Filter
Hose. Flexible. Corrugated Gas, liquid, pasteurization or autoclave
Exhalation Valve Assembly Gas, liquid, pasteurization or autoclave

(except acoustical foam)
Acoustical Foam Gas or liquid
Control Pin Assembly Ultrasound with alcohol bath

PREVENTATIVE MAINTENANCE SCHEDULE CLEANING & MAINTENANCE
BEAR CUB 7 5 0 ~ sCOMPONENTS

~
pzEE-1
I Do not sterilize the ventilator. The infernal conzpo~zentsare r~otco?tipntible with stcril-
izntion t2~/111~~llE~.
For uet~tilntorncccssorics i ~ h i c hrequire sterilizatio~r,penk sterilizatio~~
slrolilsi noi exceed 130" F (54" C)-for gns (ETO),
temperntiire
amf 270' F (132" C).for stenttl auto-
claae corrlponnzts.
PREVENTIVE An Operational Verification Procedure (OVP) should be per-

MAINTENANCE formed a minimum of once per month.
SCHEDULE Preventive Maintenance should be completed once every year.
INTERNAL BATTERY The use of the internal battery to power the BEAR CUB 7 5 0 ~
CARE Infant Ventilator dramatically improves the ventilator's mob&
ty.However, there are several important facts to know about
the care and maintenance of the battery.
The rechargeable internal battery is for emergency use and brief
periods of transition from one power source to another. It is
recommended that the operator always have the ventilator
plugged in when running it. The battery has a capacity to oper-
ate the BEAR CUB 7 5 0 ~ sInfant
~ Ventilator for approximately 30
minutes when at 100% charge. However, battery life is affected
by ambient temperature during storage and use. The efficiency
of the internal battery decreases as the temperature decreases,
and increases as the temperature increases above room temper-
ature. High temperatures increase the rate of self discharge.
In addition, batteries typically lose their charge when not used.
For tlus reason, except when unit has been placed into storage,
always leave your ventilator plugged into an AC outlet to
maintain the internal battery charge. Avoid fully discharging
the battery. However, if it is ~u~avoidable, ensure that it remains
plugged into m AC outlet for 4 hours to return the full charge.
NOTE
A battery that is fully drained (i.e. void of any charge) will
require a longer time to recharge and may be unusable if it
remains "drained" over an extended period of time. Further, a
fully drained battery must be recharged wlule the ventilator is
in the STANDBY mode of operation until the green battery LED q
illuminates. Then,the battery will recharge during other modes
of ventilator operation.
CLEANING & MAINTENANCE INTERNAL BATTERY REPLACEMENT
WARNING
I Do not dispose of the internal battery by incineration as it may explode

when exposed to flame.
I Do not attempt to charge the internal battery with any other charger than
the one built into the ventilator as it may explode or damage the battery.
If the ventilator is not likely to be used for an extended period of time, the
battery should be removed or disconnected.
A bnttery that is f u l l y drnirred (1.e. ooid of nny chnrge) ?tiny cnztse daningc to
the irentilnfor a m f should be replaced.
INTERNAL BATTERY NOTES

The rechargeable internal battery should only be replaced with the
same type as stated on the label inside the battery compartment.
Use only rechargeable battery assembly, (P/N 51000-09530) and
fuse type "Slow Blow", 1.6A, 250 VAC (P/N 56000-20078).
1. Disconnect the ventilator AC power cord from the AC power

source.
2. Loosen the two screws holding the battery access door and
gently allow the door to swing downward.
3. Disconnect the battery assembly connector (see Figure).
4. Slide the battery out of its compartment.
5. Reverse the above sequence to install the battery.
6. Replacement is complete.
8 . THEORY OF OPERATION
Overview ........................................................8.2
Pneumatic Schematic ....................................8-3
Ventilator Pneumatics General Description ....8.4
Gas Inlet and Conditioning............................8-4
Blender ........................................................... 8-4
Flow Control Valve..........................................8-5
SOPR ValveISub-Ambient Valve/
Dump Solenoid .......................... .. . ............8-5
Auxiliary Gas Outlet ........................................8-5
Pressure Control System.............. .
............... 8-5
Exhalation Valve .............................................8-6
Flow Sensor ................................................. 8-6
EEPROM ..........................................................8-7
Ventilator Electronics...................................... 8-7
Power Supply ..................................................8-8
Ventilator Software .................. ......... ........8-8
RS-232 Protocol .............................................8-9
Hardware Definition ..................................... 8-9
Software Protocol ...................... ...............8 1 1
Real Time Continuous Output .......................8-11
Data Upon Request ......................................8-11
Communication Protocol .............................8-12
Command and
Message Packet Organization ................8-12
16-Bit Data Format ....................................... 8-13
Valid Requests Received by the Ventilator ...8-13
Valid Messages Transmitted
by the Ventilator .......................................8-14
Real Time Data at 19200 Baud ...................8-15
Infant Ventilator Control Settings ..................8-16
Infant Ventilator Alarm Settings/Status
- Expanded ..................... . . .
.............. 8 - 1 7
Infant Ventilator Monitor Status
- Expanded ..............................................8-18
OVERVIEW THEORY OF OPERATION
OVERVIEW This section describes the operating theory of the BEAR CUB
750%~ InfcmtVentilator. The BEAR CUB 7 5 0 ~ sInfant
~ Ventilator
can be classified as a micro-processor controlled, time cycled,
pressure limited, dual flow, neonatal/pediatric critical care ven-
tilator. Breaths are initiated either by the ventilator (controlled),
by patient activity (assisted), or by the operator (manual).
The Top Level Block Diagram (Figure 8-1) graphically illus-
trates the overall structure of the ventilator.
OPTIONAL VENTILATOR
GRAPHIC MONITOR
Nurse call Control & Alarm Settings

Analog Outputs Monitors Flow Sensor
ELECTRONICS
Apnea Duration
Flow Sensor
Alarm Volume
Speaker -+I I I
* To Patient
Air )
PNEUMATICS From Patient
Oxygen C
+- Proximal PressurelPurge Flow
C Auxiliary Flow
A A A A A A
(1) Both Flow Controls have electronic "position' indicators

(2) Transducer Signals to the Electronics
(3) Control Signals to the Pneumatics
Figure 8-1 BEAR Cub 7 5 0 ~ sconfiguration

THEORY OF OPERATION PNEUMATIC SCHEMATIC
Figure 8-2 Infant Ventilator Pneumatic Schematic

Bear Cub 750~s~
VENTILATOR PNEUMATICS GENERAL DESCRIPTION THEORY OF OPERATION
,-
VENTILATOR Figure 8-2 shows the schematic diagram of the
PNEUMATICS BEAR CUB 7 5 0 ~ sInfant
~ Ventilator Pneumatics System. The
GENERAL DESCRIPTION pneumatics interface to the electronics is achieved using vari-
ous actuators (solenoids) and transducers. The Pneumatics
System consists of eight (8) main subsystems: Gas Inlet and
Conditioning, Oxygen Blender System, Flow Control, Sub-
Ambient/Overpressure Relief system, Exhalation
Valve/Pressure Control, Pressure Monitoring, the Proximal
Airway Purge System, and the Auxiliary Gas Outlet.
GAS INLET AND Compressed air and oxygen sources, supplied in the pressure
CONDITIONING range of 30 to 80 psig, are connected to the standard DISS male-
threaded fittings on the back panel of the ventilator.
Incoming air passes through a coalescing filter housed in the
Air Inlet Water Trap. Particulate matter down to .3 micron in
size, and aerosols down to .75 micron, are trapped. Both gases,
air and 02, pass through sintered metal filters.
Supply pressures are monitored and displayed by the ventila-
tor via pressure transducers and the system electronics. The
system will trigger an alarm if either Air or 0 2 pressure drops
below 24(+2) psig, and the alarm w ill reset when the pressures -1\
are above 30 psig.
From the Air Inlet Water Trap and internal filters, the air and
oxygen enter the in-line, one way Check Valves which prevent
flow from exiting through an inlet if that source is removed.
BLENDER Air ,and 0 2 pressure are regulated to 17 psig and are balanced
to each other for accurate blending of gases in the 0 2 blender.
In the event of a failure of either of the supply gases, one of a
pair of crossover check valves will open to permit continued
operation. Oxygen blending will not be maintained in this con-
dition, and the patient gas flow and pressure may decrease by
less than lo%, depending on settings.
To ensure accurate oxygen blending at low patient flow rates, a
bleed valve maintains a minimum flow through the blender of
3.5 -5.5 l/rnin at a minimum base flow setting of 1 I/min.
THEORY OF OPERATION FLOW CONTROL VALVE
FLOW CONTROL VALVE TWOilow control valves m switched by a solenoid valve to create
Inspiratory and Base Flow. Each valve conlmls flow from 1to 30 LPM.
Each flow control valve is g e d to a potentiometer. The putentiome-
ter provides an electronic signal to the micropmessor; this flow is then
dqAayed on the front panel correded to set barometric pressure.
NOTE
The Inspiratory Flow and Base Flow displayed on the front panel
are independent of the flow readings taken by the flow sensor.
SOPR VALVE/ Maximum pressure to the patient can be limited using the Sub-
SUB-AMBIENT VAL,VE/ Ambient/Over Pressure Relief System (SOPR.) The mech'mical,
user adjustable, pressure relieving valve can be set from 15
DUMP SOLENOID cmH20 to 75 cmH20. A patient effort of -3 cmH20 allows the
patient to breathe air through the Sub-Ambient valve.
A Dump Solenoid is activated upon detection of an obstruction
in the expiratory leg of the patient circuit. Activation of the
solenoid opens the Dump Valve to the atmosphere. The
solenoid is controlled by software whch monitors system pres-
sures. Depending upon flow rate, patient circuit pressure will
drop to 5 crnH20 or less.
AUXILIARY GAS The auxiliary gas outlet provides blended gas for use with a
OUTLET nebulizer, or for manual ventilation. The connection of auxil-
iary gas is achieved via a DISS 0 2 fitting. To inhibit overpres-
sure in the system due to a mistaken comection to high pres-
sure oxygen supply, a check valve in line allows only one direc-
tion of flow. Auxiliary gas flow levels can range from 0 to 8
LPM. This flow will not be interrupted by a disruption in elec-
trical power (therefore, use of a manual resuscitation bag could
be initiated if needed).
EXHALATION VALVE THEORY OF OPERATION
PRESSURE CONTROL The BEAR CUB 7 5 0 Infant ~ ~ Ventilator ventilates the patient *
SYSTEM between two pressure levels: Peak hwpiratory Pressure (PIP) and
Positive End Expiratory Pressure (PEEP). Inspiratory Pressure
must always be above the PEEP pressure for ventilation to occur.
The PIP pressure is manually set by the user at a level of 0 to 72
cm-0 (measured at the patient wye.) The PEEP valve can be
set from 0 to 30 c-0. A solenoid valve switches reference
pressure to the Exhalation Valve. A n exhalation assist jet venturi
compensates for flow resistance in the exhalation limb of the
patient circuit to allow 0 cmH20 PEEP setting at up to 10 LPM of
Base Flow and to less than 4 c-0 at 20 LPM. At low levels of
Base Flow, the PEEP control must be set appropriately to prevent
negative patient circuit pressures.
The patient circuit has a proximal ainvay line for monitoring
patient pressure. This airway provides a link to the control elec-
tronics and software. It also functions as a pneumatic servo
control line to the exhalation valve. Only tubing that is 1/8 inch
in diameter is to be used in the proximal airway system. Any
other diameter tube may cause patient circuit pressure to
become less stable.
A purge flow (100ml/min) of blended gas through the proximal
airway tube is used to prevent the migration of moisture and
patient contamination into the ventilator.
EXHALATION VALVE The Exhalation Valve regulates flow out of the patient circuit.
Exhaled patient gases flow through the expiratory leg of the
patient circuit, past the Exhalation Valve diaphragm and seat,
and out to the atmosphere . The Exhalation Valve is a pneumat-
ic servo controlled regulator. Within the Exhalation Valve,
Proximal pressure and Control pressure (which alternates
between PIP and PEEP reference pressure depending on the
breath phase) are separated by a Control diaphragm. If Control
pressure is higher than Proximal pressure, the Control
diaphragm ~7illmove the control pin to close the Exhalation
Valve diaphragm. When proximal pressure equals PIP/PEEP
control pressure, the diaphragm will open slightly to maintain
the PIP/PEEP level. At exl~alation,Control pressure drops to
PEEP reference pressure which causes the control diaphragm to
retract the control pin opening the Exhalation Valve
diaphragm. Proximal pressure then drops to the PEEP level
and stabilizes.
THEORY OF OPERATION EEPROM (Electronic Erasable Programmable Read Only Memory]
FLOW SENSOR The BEAR CUB 7 5 0 Infant~ ~ Ventilator flow sensor reads gas
flow while sensing flow direction. The flow is calibrated to 37OC
and ambient pressure, inspiratory flow, expiratory flow, exhaled
flows, and volumes are monitored with control electronics
through the flow sensor. The flow sensor enables the ventilator
to trigger a breath based upon inspired flow. The patient effort
(in LPM) required to initiate a breath can be adjusted (.2 to 5
LPM) using the assist sensitivity setting. The flow sensor also
enables the ventilator to display on the front panel the percent-
age of endotracheal tube leak based upon inspiratory flow and
expiratory flow volume measurements.
EEPROM (Electronic .The flow sensor operates on the principle of hot wire anemome-
t r ~The
~ . hot wire flow sensing system is a constant temperature
Erasable Programmabl e device. The bidirectional operation is achieved with two plat-
Read Only Memory) inum wires. The two wires are positioned in the same plane with
a pin installed between them. he upstream wire will cool more
rapidlv than the downstream wire. Therefore more current will
be required to maintain a constant preset temperature. The elec-
tronics interprets this higher current in the upstream wire to
determine both flow and flow direction. This measured flow rate
is then integrated over time by the venidator's microprocessor to
yield inspired and expired volumes.
The flow sensor measures flow from 0.2 to 40 LPM, is calibrated
from 0.2 to 25 LPM, and measures to 40 LPM. Each Flow Sensor
Cable Assembly contains an electronic memory circuit or
EEPROM which stores calibration data for the unit. Therefore, the
sensor will function with the electronic circuit of any BEAR CUB
7 5 h -Mant Ventilator without the need for a system calibration.
VENTILATOR The major components of the electronics system include the
Display PCB, the Control PCB, and the Power Supplv.
ELECTRONICS
The Display circuit board is the user interface for the ventilator
electronics. Ventilator controls and alarms are set by the clinician,
and monitors feed current ventilator status back to the displav.
The Control circuit board includes the Monitor MCU and
Control MCU. The Control board drives the system solenoids
which control breath phase, flow, and pressure. This is achieved
using front-panel settings from the display board, as well as
incorporating its own real-time pressure and flow readings.
The Control board also enables bidirectional (digital) conun~mi-
cation to the optional Ventilator Graphcs Monitor (VGM). Also,
analog outputs proportional to pressure and flow, plus a breath
phase signal are provided to the back panel. The electronics to
drive and read the flow sensor are also contained on the
Control PCB.
POWER SUPPLY
POWER SUPPLY
THEORY OF OPERATION
The Power Supply converts AC line voltage to DC voltages for

the electrical system. AC line voltages of 100, 120, 230, and 240
volts (at frequencies from 50 to 60 Hertz) can be used as input
-
power. Five DC voltages are used in the ventilator electronics:
5,7,10, -10 and 22 VDC. All power levels that are h g h enough
to pose an i,pition hazard in the presence of oxygen concentra-
tions greater than 21% are housed in a separate enclosure from
the rest of the system. If input power fails, a 12 volt recharge-
able, sealed, lead-acid battery is included to provide a mini-
mum of 30 minutes of ventilator operation. A two-level battery
charger circuit is contained on the Power Supply PCB in order
to keep the battery on continuous charge whenever the ventila-
tor is plugged into an AC outlet.
VENTILATOR The BEAR CUB 7 5 0 Infant~ Ventilator is a shared processor

SOFTWARE system, incorporating two Motorola 68HCll microcontroller
units (MCU), the Monitor and the Controller. Each processor,
and thereby its software, have specific and duplicated tasks.
Each processor is based on a 2.5 msec timer interrupt, referred
to as a 'tick.' The Controller directs basic control of the ventila-
tor based on operational settings communicated from the
Monitor MCU, as well as pressure transducer, cmdflow sensor
data read on its own 8 bit Analog to Digital (AD) converter. The
monitor has the following functions: (1)reads the front panel
switches, back panel switches and potentiometers, (2) monitors
ventilator performance as well as the performance of the
Controller MCU, (3) transmits front panel status to the
Controller, and (4) receives performance data back from the
Controller.
During power-up, both processors perform RAM (Random
Access Memory), and ROM (Read Only Memory) tests to verify
integrity of these huo memory systems. Solenoid and Control
Potentiometer continuity are also tested during power-up by
the Control and Monitor processors respectively. Continuous
communication checks between the two processors are used to
verify functionality of each sub-system. If an error is detected,
either processor has the ability to shutdo~ynthe ventilator while
enabling the audible and visual Failed to Cycle alarm. These
systems, among others, are provided to reduce the possibility of
a software/hardware error leading to an undetected hazardous
condition.
THEORY OF OPERATION RS-232 PROTOCOL
RS-232 PROTOCOL This document defines the hardware and software protocols for
the RS-232-C communication port for devices produced by Bear
INTRODUCTION Medical Systems, Inc., including the BEAR CUB 7 5 0 ~ Infant
s~
ent ti la tor, and the Ventilator Graphics Monitor (VGM).
Throughout this document the ventilator is defined as the send-
ing device, which transmits real-time data and responds to
requests for non-real-time data. Optionally, the VGM may be
acting as a repeater and providing data to a third device.
FIGURE 1. RS-232-C VENTILATOR CONNECTION DIAGRAM
HARDWARE DEFINITION
Connector: Male 9-pin DSub connector, Ventilator
Female 9-pin DSub connector, PC-AT serial port
Duplex: Full
Bit Rate: 9600,19200
Data : %bit character
1Start bit
1Stop bit
No Parih- bit
Pin Assignment: EIA RS-232-C, Ventilator is DTE
RS-232 PROTOCOL THEORY OF OPERATION
The ventilator is DTE and interfaces to m y DCE device through a cable wired 1to 1.
DTE Name DTE Pin Direction DCE Pin Comment
DCD 1 C 1 Not used by vent
RxD 2 C 2
TxD 3 + 3
DTR 4 + 4
GND 5 C+ 5
DSR 6 6 Not used by vent
RTS 7 I
) 7 Tied high O v ent
CTS 8 C 8
RI 9 C 9 Not used by vent
Where: DCD - Data Carrier Detect

RxD - Receive Data
TxD - Transmit Data
DTR - Data Ternunal Ready
GND - Ground
DSR - Data Set Ready
RTS - Request To Send
CTS - Clear To Send
RI - Ring Indicator
The ventilator can be interfaced to another DTE device with the

following "null-modem" interface:
DTE Name DTE Pin Direction DTE Pin DTE NAME
GND 5 C+ 5 GND
RxD 2 C 3 TxD
TxD 3 + 2 RxD
-
DCD 1 7 RTS
RTS 7 + 1 DCD
DTR 4 + 6&8 DSR&CTS
DSR & CTS 6&8 4 DTR
RI 9 Not Used 9 RI
THEORY OF OPERATION SOFTWARE PROTOCOL
? SOFTWARE PROTOCOL The ventilator has two modes of communication. The first
mode continuously outputs real-time data every 10 msec and
provides non-real-time data upon request from an external com-
puter. This mode is activated when a data rate of 19200 bits per
second (BPS) is selected.
The second communication mode only provides non-real time
data upon request: no real time data is provided. This second
mode is activated when a data rate of 9600 BPS is selected.
The communication data rate is selected on the Bear Cub 750~s~
Infant Ventilator via the Operator Diagnostic menu.
REAL TIME The continuous output mode communicates at a data rate of

CONTINUOUS OUTPUT 19200 BPS and transmits a real time data message every 10 rnsec.
DATA UPON REQUEST Non-real time data is provided in response to requests from an
external computer. Non-real-time data can be requested at any
communication data rate. The ventilator has the capability to
queue at least three requests at a time. Any additional data
requests may be ignored by the ventilator.
Requests for non-real-time data during continuous output
should be sent to the ventilator at a maximum rate of one
request every 150 msec. Real-time data transmission may be
delayed by up to 25 msec. while non-real-time requests are
being processed. The real-time data is queued by the ventilator
so that it is only delayed and not lost.
COMMUNICATION PROTOCOL THEORY OF OPERATION
COMMUNICATION The vendator commands and messages are of variable length. 4,

PROTOCOL All data packets begin with a SYN character, and are terminated
with a checksum.
COMMAND AND MESSAGE
PACKET ORGANIZATION The SYN character (1611) and the DLE character (10h) are con-
trol characters within a transmitted data packet. The SYN indi-
cates the start of a data packet and the DLE character indicates
that the next character requires special processing. If a SYN or
DLE character occurs in the original data packet, excluding the
start character and including the checksum, an additional DLE
character will be added to the transmitted data packet at the
location of the ori,oinal SYN or DLE character. The ori,oinal DLE
or SYN character will be modified by subtracting 10h from it
and will follow the added DLE character. (See Example 1
below.)
The second character in each packet is the ID character. Any
request for data using an undefined ID will be ignored by the
ventilator.
The checksum [CHECK] is the one's complement of the %bit
sum of the data bvtes in the data packet excluding the SYN and
CHECK character;.
EXAMPLE 1.
MESSAGE WITH EMBEDDED "SYN" OR "DLE"CHARACIERS.
ORIGINAL PACKET TRANSMITTED PACKET
[SYN] =01611 [swl = 016h
[ ID] = 00011 ID I = OOOh
[ Data 1 ] = 02Fh Data 1 ] = 023%
[ Data 2 ] = 01611 Data 2 ] = OlOh
(embedded SM\T char)
[ Data 3 ] = OAAh Data 3 ] = 006h
[CHECK]= 010h [ Data 4 ] = OAAh
(embedded DLE char)
[ Data 5 ] = OlOh
[CHECK] = OOh
THEORY OF OPERATION 16-81'1DATA FORMAT
16-BIT DATA FORMAT 16-bit data contained within the packet is transmitted as most
significant byte (MSB) first followed by the least sigruhcant byte
(LSB) second. Storing received bytes sequentially in memory
results in the MSB being stored in the lower addressed byte and
the LSB being stored in the higher addressed byte.
VALID REQUESTS Mode: Upon Request

RECEIVED BY Length: 3 Bytes
THE VENTILATOR
Format: [ SYN ] [ ID ] [CHECK]
[ ID 1: 22h..3Fh (Reserved/ Unused)

I l h .. 5Fh (Reserved/ Unused)
62h .. 9% (Resenred/ Unused)
AOh Request Infant Control Settings
Alh .. BFh (Resenred/Unused)
COh Request Infant Alarm Settings/Status
Clh Request Infant Alarm Settings/
Status - Expanded
C2h .. DFh (Resenred/ Unused)
EOh Request Infant Monitor Status
Elh Request Infant Monitor Status - Expanded
E2h .. FFh (Resenred/Unused)
VALID MESSAGES TRANSMllTED BY VENTILATOR THEORY OF OPERATION
VALID MESSAGES Mode: Continuously every 10 msec or upon request,

*
TRANSMITTED BY depending on message type
THE VENTILATOR Length: Variable
Format: [ SYN ] [ ID ] [Data 11... [Data n] [CHECK]
[ ID 1: OOh..OFh Real Time Data, No Alarms
10h..lFh Real Time Data, Alarm Condition
2% .. 3Fh (Reserved/Unused)
4111 .. 5Fh (Reserved/Unused)
6% .. 9% (Resenred/Unused)
AOh InfcantControl Settings
Alh .. BFh (Reserved/Unused)
COh Infant Alarm Settings/Status
Clh lnfcmtAlarm Settings/Status - Expanded
C2h .. DFh (Resenred/Unused)
EOh Mcmt Monitor Status
Elh Infant Monitor Status - Expanded
THEORY OF OPERATION REAL TIME DATA AT 1 9200 BAUD
REAL TIME DATA AT Mode: Continuously, every 10-msec

19200 BAUD Length: Variable, minimum 6 bytes
Format: [ SYN ] [ ID ] [Data 11 ... [Data 31 [CHECK]
[ ID 1: OOh.. lFh
Bit 7 - 0
Bit 6 - 0
Bit 5 - 0
Bit 4 - Alarm Condition 0 = No Alarm, 1 = Alarm
Bits 3..1 - Breath Type 000 = Volume
001 = Spontaneous/Demand
010 = Pressure Control
011 = Pressure Support
100 = Time C cled/ Pressure
Relief (Pub 750)
101 = Flow Cycled
110 ..I11 = Reserved
Bit 0 - Breath Phase 0 = Inspiration, 1 = Exhalation
[Data 11 [Data 21 [Data 31:
xxxxxxxx xxxxxyyy
I II I
MSB LSB\MSB LSB
x: Net Flow (Imp.-Exhale) - 13 bits
Range: -300 to +300 LPM
Binary Scale: 1 bit = 0.1 LPM
Binan7 Range: 0 to 6000
Zero Off Set: 3000
y: Proximal Pressure - 11bits
Rcmge: -60 to +I40 cmHzO
Binary Scale: 1 bit = 0.1 cmI-LO
Binary Range: 0 to 2000
Zero Off Set: 600
INFANT VENTILATOR CONTROL SElllNGS THEORY~OFOPERATION
INFANT VENTILATOR Mode: Upon Request

CONTROL SETTINGS Length: Minimum 14 bytes
Format: [ SYN ] [ ID ] [Data l ] ... [Data 111[CHECK]
[ ID 1: AOh
[Data I]: Mode & Switches
Bits 7..5 - Mode 000 = Assist Control
001 = STMV/IMV
010 = CPAP
011 = PSV
100 = Flow Cycled SIMV
101 = SIMV/PSV
110 = Flow Cycled A/C
111= Reserved
Bit 4 - Pressure Settings Incompatible 0 = Off, 1= On
Bit 3 - Flow Settings Incompatible O=Off,l=On
Bit 2 - Rate/Tirne Settings Incompatible 0 = Off, 1 = On
Bit 1- Manual Breath
Bit 0 - Reserved
[Data #I Parameter Range Binary Scale Binary Range
[Data 21 Breath Rate 0 - 150 bpm 1bpm 0 - 150
[Data 3/41 Inspiratory Time 0.10 - 3.00 sec 0.01 sec 10 - 300
[Data 5,6] Volume Limit 5 - 300 ml 1 rnl 5 - 300
[Data 71 Inspiratory Flow 1- 30 LPM 0.5 LPM 2 - 60
[Data 81 Base Flow 1- 30 LPM 0.5 LPM 2 - 60
[Data 91 Assist Sensitivity 0.2 - 25.5 LPM 0.1 LPM 2 - 255
[Data 101 Inspiratory Pressure Resewed 0
[Data 111 PEEP/CPAP Resewed 0
THEORY OF OPERATION INFANT VENTILATOR ALARM SETTINGS/STATUS - EXPANDED

ALARM SETTINGSISTATUS - ~ ~ ~ ~ Minimum
~ 1 , 12: bytes
EXPANDED
Format: [ SYN ] [ ID ] [Data 11 ... [Data 91 [CHECK]
[ 1: Clh
[Data I]: Alarm Status Byte 1
Bit 7 - High Breath Rate 0 = Off, 1 = On
Bit 6 - Low PEEP/CPAP 0 = Off, 1 = On
Bit 5 - Low Inspiratory Pressure 0 = Off, 1 = On
Bit 4 - Apnea 0 = Off, 1= On
Bit 3 - Patient Circuit Fault O=Off,l=On
Bit 2 - Prolonged
Inspiratory Pressure 0 = Off, 1 = On
Bit 1- High Pressure Limit 0 = Off, 1 = On
Bit 0 - LOWMinute Volume O=Off,l=On
[Data 21: Alarm Status Byte 2
Bit 7 - Flour Sensor Fault 0 = Off, 1 = On
Bit 6 - Run Diagnostics 0, Not Used
Bit 5 - Low Gas Supply O=Off,l=On
Bit 4 - Low Battery Supply 0 = Offl 1= On
Bit 3 - Failed To Cycle O=Off,l=On
Bits 2..1 - Reserved 00
Bit 0 - Alarm Silence O=Offll=On
[Data 31 High Breath Rate 0 - 255 bpm 1bpm 0 - 255
[Data 41 Lour PEEP/CPAP -10 - 50 cmH2O 1 cmH2O 0 - 60
[Data 51 Low Inspiratory Press. 5 - 99 cmHlO 1 cmHrO 5 - 99
[Data 61 High Pressure Limit 10 - 75 crnHzO 1 crnH2O 10 - 75
[Data 71 Apnea I n t e n d 5 - 30 sec 1sec 5 - 30
[Data 8,9] Lour h4inute Volume 0 - 9.9 L 1 mL 0 - 9900
INFANT VENTILATOR MONITOR STATUS - EXPANDED THEORY OF OPERATION

MONITOR STATUS - Length: M ~ u m u m23 bytes
EXPANDED
Format: [ SYN ] [ ID ] [Data 11... [Data 201 [CHECK]
[ ID 1: Elh
[Data I]: Breath Data
Bit 7 - Control Breath O=Off,l=On
Bit 6 - Patient Effort 0 = Off, 1= On
Bits 5..0 - Reserved 000000
[Data 2,3]Expiratory Tidal Volume 0 - 500 rnl 0.1 ml 0 - 5000
[Data 4,5] Minute Volume 0 - 300.0 L 0.01 L 0 - 3000
[Data 61 1'0 Leak 0 - 100 OO/ 1OO/ 0 - 100
[Data 7,8] Inspiratory Time 0 - 3.10 sec 0.01 sec 0 - 310
[Data 9,101 Expiratory Time 0 - 99.99 sec 0.01 sec 0 - 9999
[Data 111 (Bit 7) See Footnote'
t
(Bits 6-0 I:E Ratio
or E: Ratio 1.0 - 9.9 0.1 10 - 99
[Data 121 Breath Rate 0 - 255 bpm 1bpm 0 - 255
[Data 131 Peak hspiratory Press. 0 - 99 c&O 1c&O 0 - 99
[Data 14,151 Mean Airway Press. 0 - 99.9 cmH20 0.1 crnHzO 0 - 999
[Data 161 Air Supply Pressure 0 - 99 psig 1psig 0 - 99
[Data 171 Or Supply Pressure 0 - 99 psig 1p i g 0 - 99
[Data 181 PEEP 0 - 50 c&O 1cmHz0 0 - 50
[Data 19,201 Imp. Tidal Vol. 0 - 500 mL 0.1 mL 0 - 5000
2 Bit 7: 1 ii hpiratory T h e <= Expiratory T h e

0 if Inspiratory T i e > Expiratory Time
Bits 6-0: E/IifBit7=1

I/E if Bit = 0
9 . PARTS & ACCESSORIES
Parts Ordering ................................................9-2

Ventilator Accessory KitIStarter Kit ...................9-2
Available Accessories ....................................9-2
Replacement Items........................................9-4
PARTS ORDERING PARTS & ACCESSORIES
PARTS ORDERING To obtain BEAR CUB 7 5 0 Infant

~ ~ Ventilator parts contact
Therino Respiratory Group customer service.
VENTILATOR The domestic BEAR CUB 7 5 0 Infant

~ Ventilator comes with a
ACCESSORY Basic Accessory Kit ( P / N 50-01187-00) and Starter Kit ( P / N
50000-01165).
KITETARTER KIT
Accessory Kit (PIN 50-01187-00) ...................... Parts

1. DISS Air Hose . . . . . . . . . . . . . . . . . . . . . . . . P/N 50000-01000
2. DISS 0 2 Hose. . . . . . . . . . . . . . . . . . . . . . . . . P/N 50000-01001
3. Air M e t Water Trap . . . . . . . . . . . . . . . . . . . P / N 50000-01071
4 Control Pin Tool, Assembly. . . . . . . . . . . . . P / N 51000-05137
5. Fuse .25amp, 5x20mm, slow blow . . . . . . . P/N 56000-20080
6. Voltage Conversion Instructions. . . . . . . . . P/N 50000-10656
7. Instruction Manual Kit . . . . . . . . . . . . . . . . . P/N 50-10697-00
Instruction Manual Kit includes:
BEAR CUB 7 5 0 Instruction
~ Manual . . . . P/N 51-10697-00
BEAR CUB 7 5 0 OVP ~ Manual . . . . . . . . . P / N 50000-12196
NOTE: One Flow Sensor (P/N 51000-08831) is shipped with the ..a
BEAR CUB 7 5 0 Infant
~ ~ Ventilator.
Starter Kit (PIN 50000-01165). ........................Parts

1. Flow Sensor . . . . . . . . . . . . . . . . . . . . . . . . . .P / N 51000-10027
2. Exhalation Manifold (Block) . . . . . . . . . . . . P/N 51000-09377
3. Muffler Assembly . . . . . . . . . . . . . . . . . . . . .P/N 51000-09712
4. Exhalation Diaphragms (3 each). . . . . . . . . P/N 51000-04601
AVAILABLE T l ~ efollowing upgrade accessories are available for the BEAR

ACCESSORIES CUB 7 5 0 Infant
~ ~ Ventilator:
POLE MOUNT The BEAR CUB 7 5 0 ~Infant
~ - Ventilator can be mounted as fol-
lows:
~ ~ Mount Kit. . . . . . . . . P / N 50000-01160
1. BEAR CUB 7 5 0 Pole
PARTS & ACCESSORIES REUSABLE PATIENT CIRCUIT
REUSABLE PATIENT ~ ~ Circuit Kit ..... P/N 50000-01147

The BEAR CUB 7 5 0 Infant
CIRCUIT (provides materials for 3 circuits and includes the following:)
1. Endotracheal Connector,
l l m m O.D. /15mm I.D. (3 each) . . . . . . . . . P / N 53012-00109
2. Endotracheal Adapter,
l l m m I.D./4mm O.D. (3 each) . . . . . . . . . . P/N 54968-00140
3. Hose Adapter,
3/8" O.D. both ends (6 each) . . . . . . . . . . . . P/N 53532-01101
4. Tubing 1/8" I.D., 25 feet. ............... P/N 54980-01805
5. Tubing 3/8" I.D., 25 feet. ............... P/N 54980-01808
6. Hose, Flexible, Corrugated (6 each). . . . . . P/N 16566-00001
GRAPHICS MONITOR The following Graphics Ventilator Monitor (VGM) upgrade
option is available for the BEAR CUB 750~5~
Infant Ventilator:
1. Ventilator Graphics Monitor
with 750 Mount. . . . . . . . . . . . . . . . . . . . . . . P / N 50000-20101
COMPRESSOR The BEAR CUB 7 5 0 Infant

~ Ventilator can be used in conjunc-
tion with, and mounted to, a compressor as follows:
1. SolidAir Compressor (120V 60Hz) ....... P / N 50-01161-01
2. SolidAir Compressor (230V 50Hz) . . . . . . . P/N 50-01161-02
HUMIDIFIER The following humidifiers are available for the BEAR CUB
7 5 0 ~ Infant
s~ Ventilator:
1. LS-460 Humidifier, Infant
11?V, 60 HZ.. . . . . . . . . . . . . . . . . . . . . . . . . . P/N 50000-00460
lOOV, 50/60 HZ . . . . . . . . . . . . . . . . . . . . . . . P/N 50000-00461
230V, 50/60Hz. . . . . . . . . . . . . . . . . . . . . . . . P/N 50000-00480
4. VH 820 Humidifier Adult /Infant
(English)120V, 60 Hz . . . . . . . . . . . . . . . . . . P/N 50000-00820
5. VH 820 Humidifier, Adult/Infant
(English)220V, 50/60 Hz. . . . . . . . . . . . . . . P/N 50000-00826
RAIL MOUNT The BEAR CUB 750m Rail Mount Kit. . . . . . . P/N 50000-01148
The Rail Momt Kit includes: Accessory Rid, Strip Reinforcement,
Accessory Rail Spacers (2 each), Decorative Insert, Screw
1/4" x 3/4" (2 each), 2-sided Tape.
REPLACEMENT ITEMS PARTS & ACCESSORIES
REPLACEMENT ITEMS
FLOW SENSOR Flow Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . .P / N 51000-10027
EXHALATION VALVE 1. Exhalation Manifold (Block) . . . . . . . . . . . . P / N 51000-09377

ASSEMBLY and 2. Exhalation Valve Diaphragm
MUFFLER ASSEMBLY (available in multipack of 3 each) . . . . . . . . P/N 50000-03059
(sec Figure 7-1) 3 Nut, Knurled . . . . . . . . . . . . . . . . . . . . . . . . . P/N
. 54333-00101
4. Control Pin Assembly . . . . . . . . . . . . . . . . . P/N 51000-04889
5. Muffler Assembly . . . . . . . . . . . . . . . . . . . . . P/N 51000-09712
(includes the following:)
Adapter. Tube . . . . . . . . . . . . . . . . . . . . . . . . P / N 51000-09703
Tube. Muffler . . . . . . . . . . . . . . . . . . . . . . . . . P / N 51000-09706
Foam Assembly. Muffler . . . . . . . . . . . . . . .P/N 51000-09715
Diffuser. Muffler . . . . . . . . . . . . . . . . . . . . . .P/N 51000-09705
Screw. Thumb 6-32 X .25 LG SST ........ P / N 52000-60073
0-Ring 1/2 ID x 1/16 THK ETH-P . . . . . . P/N 53021-02014
CIRCUIT ACCESSORIES
MISCELLANEOUS
1. Proximal Line Bacteria Filter . . . . . . . . . . . . P / N 51000-01122
2. Lnfant Bacteria Filter. 3/8" O.D. . . . . . . . . . P/N 50000-01056
1. Air Inlet Water Trap . . . . . . . . . . . . . . . . . . . P/N 50000-01071

2. Battery Assembly, 12 volts. 1.2 AH . . . . . . P / N 51000-09530
3. BEAR CUB 7 5 0 1OVP ~ Instructions . . . . . . P / N 50000-12196
.
4. BEAR CUB 7 5 0 Instruction
~ Manual . . . . P / N 50-10697-00
5. Bowl. Plastic. 14-ith Gasket.
for Air Water Trap . . . . . . . . . . . . . . . . . . . . . P / N 50000-01W5
6. Fuse .25amy. Sx20mm.
slow blow (220/240 volts) . . . . . . . . . . . . . . P/N 56000-20080
7. Fuse .5amp. 5x20mm.
slow blow (100/120 volts) .............. P / N 56000-20079
8. Fuse l.bamps, 5x20mm. slow blow
(internal circuit protective fuse) . . . . . . . . . P/N 56000-20078
9. Gasket (pkg of 5). . . . . . . . . . . . . . . . . . . . . . P/N 50000-01016
10. Infant Test Lung . . . . . . . . . . . . . . . . . . . . . . P/N 52000-40027
11 O.Ring. Jet Venturi Mount . . . . . . . . . . . . . P / N 53021-01006
(l/S" I.D. x 1/16")
10. UPDATES
This section of the BEAR CUB 7 5 0 Infant

~
Ventilator manual is provided for your

convenience to insert instruction sheets for
ventilator updates/enhancements and for clinical
application bulletins pertaining to tlus ventilator.
GLOSSARY
Glossary.. ...... ....

.........................,.Glossary - 2
-
Glossary 1
GLOSSARY OF ABBREVlATlONS GLOSSARY
GLOSSARY OF amp Ampere T

ABBREVIATIONS AC Assist Control or alternating current
BATT Battery
BPM Breaths Per Minute
cm Centimeter
&O Centimeter of Water Pressure
CPAP Continuous Positive Airway Pressure
OC Degrees Centigrade
DISS Diameter Index Safety System
ETO Ethylene Oxide
OF Degrees Fahrenheit
F102 Fractional Concentration of Inspired Oxygen
Hz Hertz
ID Internal Diameter
I:E hpiratory Expiratory Ratio
IMV Intermittent Mandatory Ventilation
kg Kilogram
1 Liters. A tinit of volume.
lb Pound
LED Light Emitting Diode.
LPM Liters Per Minute
ml W t e r
OD Outer Diameter
0 2 Oxygen
%0 2 Percent Oxygen
PEEP Positive End Expiratoq
PIP Peak lnspiratory Pressure
psi Pounds per Square Inch
P% Pounds per Square Inch Gauge
PSV Pressure Support Ventilation
SIMV Synchronized Lntemuttent Mandatory Ventilation
TCPL See Time Cycled Pressure Limited ventilation.
VAC Volts Alternating Current
VDC Volts Direct Current
Vt Tidal Volume
Glossary - 2
INDEX
Index ....................................... Index - 2
Index - 1
INDEX
AC Control ................................................................................................... 5 8 5.20. 5-21

AC Fundamentals ..........................................................................................................4-2
AC Setup .........................................................................................................................4 4
Accessories ..................................................................................................................... 9.2
Air Hoses .................................................................................................................2.2, 2-4
Air Met Water Trap ............................................................................................7 4 5-32
Air Pressure Monitor ................................................................................................... 5-11
Alarms ...........................................................................................................................
5-13
Alarm Notification LED .....................................................................................5 8 5-15
Alarm Loudness knob .................................................................................................. 2-4
Alarm Loudness Adjustment ..........................................................................24, 5-31
Alarm Silence......................................................................................................5 8 5-15
Alarm Speaker.............................................................................................5 8 5-27, 5-28
Analog Connection ...................................................................................................... -2-5
Analog Manometer .......................................................................................... 5 - 5-9
Analog Signal Output ..................................................................................2 5 5-5, 5-31
Apnea alarm ....................................................................................... 5 8 5-16, 5-31, 6-4
Apnea alarm control ..................................................................................................-5-16
Assist Control Setup ..........................................................................................4 , 5-21
Assist Control Fundamentals ...................................................................................... 4-2
Assist Sensitivity......................................................................................... 58, 5-20, 5-26
Auxiliary Gas Outlet .......................................................................................... 5 - 2 7 8-5
Back Panel ............................................................................................................32. 5-30

Base Flow control ................................................................................... 5 - 5.20, 5-25
Basic Accessory Kit .............................................................................................. 2 2 9-2
Battery Care .................................................................................................................... 7-6
Battery Connection........................................................................................................ 2-3
Battery LED ........................................................................................................... 58, 5-20
Battery Replacement ................................................................................................... 7-7
Block Diagram, Toy Level ............................................................................................ 8-2
Breath Rate monitor ............................................................................................. 5 5-9
Circuit Checkout ............................................................................................................ 3-6

Cleaning .......................................................................................................................... 7-2
Compressor ....................................................................................................................9-3
Control PCB .................................................................................................................... 8-7
Control Pin Assembly, cleaning of .............................................................................. 7-4
.
Controls ............................................................................................. 5 - 2 0 though 5-26
Copyright Notice .......................................................................................................... 1-2
-
CPAP Control .............................................................................................. 5 3-20, 5-22
CPAP Fundamentals .......................................
CPAP Setup .................................................................................................... 4 12, 5-22
12
Index .2 1 1/99
INDEX
Digital Communication Interface (RS-232) ...................................................... 2 5-30

Display Power. Graphics ............................... 53 0 . 5-32
Electronics...................................................................................................................... -8-7
EPI PCB ...........................................................................................................................8.7
Error Codes ........................................................................................................... 66, 6-7
Exhalation Diaphragm Installation............................................................................. 3-2
Exhalation Valve ........................................................................................... 529, 7.3, 8-6
Expiratory Time monitor ..................................................................................5 8 5-10
Exhalation Manifold, cleaning of ....................................................................7 3 7-4
Exhalationvalve.................................................................................................... 3 2 5-29
Expired Tidal Volume monitor ...........................................................................5 8 5-12
Failed to Cycle alarm ....................................................................................5 8 5.16. 6-2

Flow Control Valve........................................................................................................8.5
Flow Cycled AC Control ..........................................................................5 8 5.20. 5-21
Flow Cycled AC Fundamentals ..................................................................................4 3
Flow Cycled AC Setup .................................................................................................4 4
Flow Cycled SIMV Control .......................................................................5 8 5-20, 5-22
Flow Cycled SIMV Fundamentals .............................................................................. 4 8
Flow Cycling ................................................................................................................ 4 1 5
Flow Sensor .................................................................... 3 2 5-7, 5-8, 5-19, 5-28, 8-6, 9-4
Flow Sensor alarm ..............................................................................5 8 5-19, 5-28, 6-3
Flow Sensor, cleaning of...................................................................................... 5 7 7-2
Flow Sensor Installation ............................................................................................... 3-2
Front Panel ..............................................................................................................3 2 5-8
Fuses ................................................................................................................................9-4
Gas Inlet System ............................................................................................................ 8-4

General Setup .................................................................................................................4.2
Glossary of Abbreviations ..............................................................................Glossmy-1
Graphics Display ....................................................................................................2 5 9-3
Graphcs Display Power Outlet ............................................................................... -5-30
High Breath Rate alarm .............................................................................5 8 5.13. 6-3

High Pressure Limit alarm ........................................................................5 8 5.14. 6-4
Hour Meter ........................................................................................................5 5-12
Humidifier ..................................................................................................................... -9-3
Index .3
INDEX
I:E Ratio .................................................................................................................5 8 , 5-10

IMV Setup ...........................................................................................................0 5-21
IMV Fundamentals ....................................................................................................... 4-7
Inspiratory Flow control ............................................................................ 5 8 5-20, 5-26
Inspiratory Pressure control ......................................................................58, 5-20, 5-23
Inspiratory Tidal Volume monitor .....................................................................5-8, 5-11
Inspiratory Time control ............................................................................58, 5-20, 5-24
Inspiratory Time monitor ....................................................................................5 8 . 5-10
Limitations of Liabilities.................................................................................................ill
...
Line Power Notification LED ............................................................................ 5 5-20
Low Battery alarm ....................................................................................... 5 5.17. 6-4
Low Gas Supply alarm ................................................................................ 5 8 5.16. 6-2
Low Lnspiratory Pressure alarm ................................................................. 5 5.14. 6-4
Low Minute Volume alarm .................................................................................5 5-13
Low PEEP/CPAP alarm .............................................................................. 5 5.13. 6-3
Lower Front Face .........................................................................................................5-27
Main Flow "To Patient" Port .....................................................................58. 5-25, 5-28

Manual Breath ............................................................................................. 58. 5-20, 5-27
Mean Airway Pressure monitor ......................................................................... 5 8 5-11
Minute Volume monitor ..................................................................................... 5 8 , 5-11
Miscellaneous Items. ordering.....................................................................................9-4
Mode Select knob ................................................................................................ 5 8 5-20
Monitor PCB...................................................................................................................8-7
Monitors ................................................................................................. 5 8 through 5-12
Muffler Assembly..................................................................................................73, 7-4
Nurse Call. Remote .............................................................................................. 5 5-31
0 2 Blender ....................................................................................................... 5 - 2 8 8-4

0 2 Hoses ................................................................................................................. 22. 2-4
0 2 Inlet ..........................................................................................................................5-30
0 2 Control ........................................................................................................... 5-27, 5-28
0 2 Pressure monitor ............................................................................................. 5 8 , 5-11
Over Pressure Relief Valve ....................................................................... 3 4 , 5-30, 5-33
Index .4
INDEX
Patient Circuit alarm ....................................................................................5 5.17. 6-5

Patient Circuit. cleaning of ...........................................................................................7-2
Patient Circuit Diagram ................................................................................................ 3-5
Patient Circuit, Installation ..........................................................................................3-3
Patient Circuit, Reusable .............................................................................................. 9-3
Patient Initiated LED .......................................................................................... 5 8 , 5-10
Parts Ordering................................................................................................................ 9-2
Peak Inspiratory Pressure monitor ....................................................................5 8 , 5-10
PEEP Monitor ................................................................................................. 5 8 , 5-11
PEEP/CPAP control ............................................................................... 58, 5-20, 5-23
Percent Leak monitor (Oh) ...................................................................................5 8 , 5-12
Performance Characteristics and Svecifications ........................................... 5 3 to 5-7
L
Pneumatic Diagram ..................................................................................................... -8-3

Pole Mo~mtAssembly ........................................................................................2 9-2
Power Cord ......................................................................................................5-30, 5-32
Power Inlet Module ....................................................................................... 5-30, 5-32
Power Supply .................................................................................................................8-8
Pressure Control System ............................................................................................. -8-5
Pressure Settings Incon~patiblealarm ....................................................5 5.19. 6-4
Preventive Maintenance .............................................................................................. -7-6
Product Support ........................................................................................................... -1-3
Prolonged Inspiratory Pressure alarm.................................................. 5 8 5.18. 6-5
Proximal Pressure Port .............................................................................. 5 8 5.27. 5-29
PSV Control ............................................................................................ 5 8 5.20. 5-22
PSV Fundamentals ..................................................................................................... -4-11
PSV Setup......................................................................................................................4-11
R Rail Mount ..................................................................................................................... -9-3

Remote Nurse Call.....................................................................................55, 5.30. 5-31
. .
Reusable Patient Circuits..............................................................................................9-3
RS-232 Digital Communication Interface ........................................................ 2 5 , 5-30
Index .5
INDEX
Settings Incompatible alarm........................................................................ 5 8 5.18. 6-5

SIMV/PSV Control..................................................................................... 5 8 5.20. 5-21
SIMV Fundamentals ..................................................................................................... 4-7
SIMV Setup ......................................................................................................... 0 5-21
Software ........................................................................................................................ -3-8
SOPR Valve .................................................................................................................... 8-5
Specifications, Electrical ...............................................................................................5-5
Specifications, Environmental .....................................................................................5-6
Specifications, Panel ...................................................................................................... 3-3
-
Specifications, Physical.................................................................................................5-6
Specifications, Pneumatic............................................................................................-5-5
Standby Control .......................................................................................... 5 8 5-20, 5-22
Starter Kit ........................................................................................................................ 9-2
Sterilization Guidelines ................................................................................................ 7-5
Supply Rating, Electrical and Pneumatic................................................................... 5-5
Symbols ........................................................................................................................... 1-4
Test Button............................................................................................................... 5 , 5-9

Test Standards ................................................................................................................ 5-3
Theory of Operation .............................................................................. - 2 through 8-18
Tidal Volume monitor .......................................................................................... 5 5-12
Tolerances ....................................................................................................................... 5-4
To Patient" Port .......................................................................... 5 8 5-25 through 5-27
I,
Trademark Notices ........................................................................................................ 1-2

Troubleshooting Chart ....................................................................................... 6 2 to 6-5
Tube Leak, % .........................................................................................................8 5-12
Unpackino Instructions ............................................................................................. -2-2

Upgrade gptions .......................................................................................................... 9-2
..
User /Owner Responsibility............................................................................................11
Ventilator Accessory Kit/Starter Kit .......................................................5 8 5.20. 5-23

Ventilator Rate control ...............................................................................5 8 5.20. 5-23
Visual Inspection ........................................................................................................... 2-2
Visual Reset ........................................................................................................... 58, 5-15
Volume Limit control ........................................................................ 5 - 8 5-20, 5-24
Volume Limit Audible off control ............................................................ 5 8 5-20. 5-25
Index .6
INDEX
Warnings, Cautions & Notes ....................................................................................... 1-4

..
Warranty .................................................................................................................... I , 1-4
Warranty ....................................................................................................................... - 2 - 2
Water Trap ............................................................................................................. 5-32, 7-4
INDEX

Manual Ventilador Bear Cub 750

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Manual Ventilador Bear Cub 750

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INFANT VENTILATOR

P/N 51 - 10697-00 Rev. A

Copyright Notice ...................................................1-2

Copyright @ 1999 Bear Medical Systems, Inc., Palm Springs,

Thermo Respiratory Group Thermo Respiratory Group

TRADEMARK NOTICES BEAR Cub@is a registered trademark of Bear Medical Systems,

OVERVIEW The Bear Cub 7 5 0 ~ sInfant

'US. Patent No.5, 510,220

e Bear Medical Systems is committed to product support. The

Hours: 24 hours, 7 days a week

Bear Medical Systems will make available for purchase, service

SYMBOLS The following symbols are referenced on the ventilator and

Attention, consult ACCOMPANYING DOCUMENTS

Medical Device Directive Compliant

The Bear Cub 7 5 0 ~ slnfant

When the ventilator is connected to a patient, it is recommended that a

Always have an alternate means of ventilation available whenever the ven-

Under n o circumstances should the Bear Cub 750rsv Infant Ventilator be

An audible alarm indicates an anomalous condition and should never go

Antistatic or electrically conductive hoses or tubing should not be used

If a mechanical or electrical problem is recognized while running the

It is suggested that oxygen concentration be monitored continuously using

To clear a Failed to Cycle alarm condition once the ventilation malfunction

When the Flow Sensor is disconnected, or becomes disabled during opera-

v m l o u d n e s r e seetabve ambient sound in order to b e heard.

Failure to appropriately adjust t h e Over Pressure Relief Valve for each

Do not dispose of the internal battery by incineration as it may explode

Use only hydrophobic bacteria filters ( P/N 51000-01122 ) in the proximal

DO not sterilize the oa~tilator.The i n t e n d conipor~entsare rlot compnfible with ster-

For oei~tilaforaccessories idzich require steriliurtioiz, penk sterilization temperature

A bnttery that isjirl!y draiized (i.e. aoid ofany cl2nrge.J r ~ r cnrise

A n y co~tdnzsatein the iontcr trap is a zonnlilzg signal tlmt condensate i m y be m f e r -

Never atter~lptf 0 ir~sertclenniilg imtrrrrrrents into flozo sensor or to dry the

Overview ........................................................ 2-2

OVERVIEW The BEAR CUB 7 5 0 1Infant

UNPACKING Before unpacking the BEAR CUB 7 5 0 Infant ~ ~ Ventilator,

WARRANTY CARD Locate the warr~anercard attached to the ventilator. Complete

BATTERY The BEAR CUB 7 5 0 Infant ~ ~ Ventilator is shipped with the

The Pole Mount Assembly Kit (P/N 50000-01160) is used to

Setting up the Back Panel of the Ventilator ........3-2

Setting up the Front Panel of the Ventilator ........3-2

Exhalation Valve ...............................................

Flow Sensor ......................................................3-2

Over Pressure Relief Valve ................................3-4

Patient Circuit Diagram ................................. 3-5

Circuit Checkout ........................... .

OVERVIEW "Setup" and "checkout" procedures are described here.

SETTING UP THE To set up your BEAR CUB 7 5 0 Infant

6. Attach the other flexible corrugated hose to the +way

The factory provides a clean ventilator for initial use. Only

OVER PRESSURE The BEAR CUB 7 5 0 ~ sInfant

Adjustable locking ring

Figure 3-2 Patient Circuit

After 30 seconds, verify that Peak Inspiratory Pressure display

Rotate VENTILATOR RATE knob to 1 and verify that the

9. To venfy that the audible/visual alarms for low gas supply, T

11. The checkout is now complete.

If a mechanical or electrical problem i s recognized while running the

General Setup ............................................................. 4.2

GENERAL SETUP 1.Prepare the vendator as described in Setzip mzd Clleckozit

4. Select the desired humidifier setting. The proximal airway

II Under no circumstances should the ventilator be used in the presence of

5. General set up is now complete.

AC Fundamentals A time cycled pressure limited (TCPL)breath is delivered when: